Individual
DR. DONATO ANTONIO SISTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
739 IRVING AVE, SUITE 640, SYRACUSE, NY 13210
(315) 464-6255
(315) 464-6251
Mailing address
739 IRVING AVE, SUITE 640, SYRACUSE, NY 13210
(315) 464-6255
(315) 464-6251
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
042-0014571
VT
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
10477
NH
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
146019
NY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
66653
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3086754
—
NH
Enumeration date
01/20/2006
Last updated
09/27/2023
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