# HOLISTIC FAMILY MEDICINE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376895797
- **Authorized official:** DR. DOMENICK JOHN MASIELLO DO (OWNER)
- **Authorized official phone:** (212) 688-4818

## Contact information

- **Practice address:** 141 E 55TH ST, \# 10F, NEW YORK, NY 10022-4030
- **Practice address phone:** (203) 826-3582
- **Practice address fax:** (855) 798-2816
- **Mailing address:** 430 OLD SIB RD, RIDGEFIELD, CT 06877-2335
- **Mailing address phone:** (203) 826-3582
- **Mailing address fax:** (855) 798-2816

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | NULL | — |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/09/2012
- **Last updated:** 03/18/2013