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Individual
DENNIS DOMOSI
Active
Individual
DENNIS DOMOSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1533681
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000075204
GHI HMO #
NY
05
—
00945253
—
NY
01
—
0203731
GHI PPO #
NY
01
—
0888254
AETNA HMO #
NY
01
—
0D3068
HEALTHNET #
NY
01
—
100004101
AFFINITY HEALTH PLAN #
NY
01
—
153368
HIP #
NY
01
—
230544
WELLCARE #
NY
01
—
363522
TACONIC IPA #
NY
01
—
4399282
AETNA PPO #
NY
01
—
675E41
EMPIRE BCBS #
NY
01
—
DD3368
ATLANTIS HEALTH PLAN #
NY
01
—
P3098499
OXFORD #
NY
Enumeration date
10/18/2005
Last updated
04/09/2012
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