Organization
CRANIOFACIAL SURGERY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOMINICK I. GOLIO M.D. (PRESIDENT AND CEO)
(212) 628-8880
Entity
Organization
Contact information
Practice address
155 COUNTRY RIDGE RD, SCARSDALE, NY 10583-6625
(786) 380-0650
(914) 723-9236
Mailing address
935 PARK AVE, STE 1B, NEW YORK, NY 10028-0212
(212) 628-8880
(800) 476-4306
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
87053
FL
Other
Enumeration date
02/03/2009
Last updated
02/03/2009
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