Individual
MR. DOMINIC FERRANOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4410 SUNRISE HWY, MASSAPEQUA, NY 11758-5346
(516) 509-6056
Mailing address
225 EASTVIEW DR, CENTRAL ISLIP, NY 11722-4539
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NY
Other
Enumeration date
01/24/2025
Last updated
01/24/2025
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