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Organization
DOMINICK F. PAONESSA, MD PC
Active
Organization
DOMINICK F. PAONESSA, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ANN MEISTER (INSURANCE COORDINATOR)
(518) 489-2651
Entity
Organization
Contact information
Practice address
319 S MANNING BLVD, SUITE 105, ALBANY, NY 12208-1742
(518) 489-2651
(518) 459-2928
Mailing address
319 S MANNING BLVD, SUITE 105, ALBANY, NY 12208-1742
(518) 489-2651
(518) 459-2928
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
109356
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000405889002
BLUE SHIELD OF NENY
NY
01
—
0014904
GHI
NY
05
—
00315251
—
NY
01
—
040005885
RR MEDICARE
NY
01
—
04132
MVP
NY
01
—
04543
GHI HMO
NY
01
—
10001547
CDPHP
NY
01
—
104543
WELLCARE
NY
01
—
28331
EMPIRE BLUE CROSS
NY
Enumeration date
02/27/2007
Last updated
04/29/2010
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