Individual provider · Type 1 NPI

Vincenzo Dimaggio, PA-C

Surgical Physician Assistant · Staten Island, NY

NPI number 1962887562 Active

Practice location

475 Seaview Ave
Staten Island, NY 10305-3436

Call (718) 226-6210 Map

Mailing address

144 Weed Ave
Staten Island, NY 10306-4925

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X23018866 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1962887562

Vincenzo Dimaggio, PA-C's National Provider Identifier is 1962887562, issued on Jul 23, 2015. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Staten Island, NY. The record was last updated on Oct 25, 2018.