Individual
DOMINICK LIGRESTI I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
175 FRANKLIN AVE STE 103, NUTLEY, NJ 07110-2973
(973) 759-6569
(973) 759-2562
Mailing address
31 TIOGA ST, STATEN ISLAND, NY 10301-4329
(718) 981-5040
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
152405-1
NY
Other
Enumeration date
07/13/2006
Last updated
07/21/2022
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