Individual
MR. DOMINIC PATRICK MOCCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
245 W 19TH ST, NEW YORK, NY 10011-4072
(212) 675-0549
(212) 675-0540
Mailing address
245 W 19TH ST, NEW YORK, NY 10011-4072
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
014466
NY
Other
Enumeration date
11/30/2010
Last updated
11/30/2010
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