Individual
DR. DOMENICK ACQUISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 E 59TH ST RM 10C, NEW YORK, NY 10022-1365
(122) 434-4180
(212) 434-4119
Mailing address
110 E 59TH ST RM 10C, NEW YORK, NY 10022-1365
(212) 434-4180
(212) 434-4119
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
265411
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03484493
—
NY
Enumeration date
03/28/2009
Last updated
05/20/2019
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