Individual provider · Type 1 NPI

Peter Domaoal, P.A. -C

Surgical Physician Assistant · New York, NY

NPI number 1639549538 Active

Practice location

170 William St
New York, NY 10038-2612

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X019164 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1639549538

Peter Domaoal, P.A. -C's National Provider Identifier is 1639549538, issued on Oct 5, 2015. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in New York, NY. The record was last updated on Sep 19, 2022.