Individual
DOMICIANO PATACSIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 PATROON CREEK BLVD, SUITE 101, ALBANY, NY 12206
(518) 435-8360
(518) 435-8391
Mailing address
400 PATROON CREEK BLVD, SUITE 101, ALBANY, NY 12206
(518) 435-8360
(518) 435-8391
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
134434
NY
207ZP0101X
Anatomic Pathology Physician
Primary
134434
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01332067
—
NY
Enumeration date
07/01/2006
Last updated
03/04/2008
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