Individual
DR. JOSEPH FAIELLA TOMMASINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C PH.D
Contact information
Practice address
206 FALLWOOD PKWY, FARMINGDALE, NY 11735-4929
(516) 249-1020
(516) 249-1305
Mailing address
14 MONTICELLO DR, SHOREHAM, NY 11786-2047
(631) 846-1396
(631) 846-1396
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002330-1
NY
Other
Enumeration date
10/16/2006
Last updated
07/28/2009
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