Individual
DOMINIC A PACIULLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
777 WESTCHESTER AVE STE 101, WHITE PLAINS, NY 10604-3520
(646) 302-3306
Mailing address
178 WATERMELON HILL RD, MAHOPAC, NY 10541-4439
(718) 597-8323
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
537861041
NY
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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