# MR. DOMINICK J DICAPUA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1164564563
- **Gender:** Man
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 001181 | NY | Yes |

## Other

- **Enumeration date:** 02/13/2007
- **Last updated:** 02/26/2009
