Individual provider · Type 1 NPI

Dominic Cotumaccio, PA

Medical Physician Assistant · Hicksville, NY

NPI number 1619700770 Active

Practice location

81 N Broadway
Hicksville, NY 11801-2920

Fax (516) 933-4352

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XNone listed
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1619700770

Dominic Cotumaccio, PA's National Provider Identifier is 1619700770, issued on Aug 23, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Hicksville, NY. The record was last updated on Aug 23, 2024.