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Organization
DINO BRAVO
Active
Organization
DINO BRAVO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DINO AUGUSTINE PAOLICELLI (PRESIDENT)
(917) 763-7551
Entity
Organization
Contact information
Practice address
466 MAIN ST, STATEN ISLAND, NY 10307-1728
(917) 763-7551
Mailing address
466 MAIN ST, STATEN ISLAND, NY 10307-1728
(917) 763-7551
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/09/2011
Last updated
06/12/2012
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