Individual
DANIEL VICTOR TOMASULO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
3075 SOUTHWESTERN BLVD, SUITE 102, ORCHARD PARK, NY 14127-1236
(716) 675-0616
(716) 675-7101
Mailing address
3075 SOUTHWESTERN BLVD, SUITE 102, ORCHARD PARK, NY 14127-1236
(716) 675-0616
(716) 675-7101
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
008440
NY
Other
Enumeration date
05/13/2006
Last updated
03/02/2011
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