Organization
DR.D PASSARIELLO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOMENICA PASSARIELLO MD (PRESIDENT)
(718) 372-3600
Entity
Organization
Contact information
Practice address
8740 25TH AVE, BROOKLYN, NY 11214-5402
(718) 372-3600
Mailing address
8740 25TH AVE, BROOKLYN, NY 11214-5402
(718) 372-3600
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
NY
Other
Enumeration date
08/28/2006
Last updated
07/21/2022
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