Organization
WINTHROP UNIVERSITY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOMINIC ANTHONY BRACCO (PHYSICIAN ASSISTANT)
(631) 546-8360
Entity
Organization
Contact information
Practice address
259 1ST ST, MINEOLA, NY 11501-3957
(516) 663-0333
Mailing address
18 CAROLYN RD, PORT JEFFERSON STATION, NY 11776-1706
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
013894
NY
Other
Enumeration date
05/11/2010
Last updated
07/30/2013
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