Organization
DOMENICK ACQUISTA, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMENICK ACQUISTA (PRESIDENT)
(718) 362-1321
Entity
Organization
Contact information
Practice address
3101 VERNON BLVD, LONG ISLAND CITY, NY 11106-4870
(718) 362-1321
Mailing address
3101 VERNON BLVD, LONG ISLAND CITY, NY 11106-4870
(718) 362-1321
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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