Individual
MR. VINCENZO DIMAGGIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-6210
Mailing address
144 WEED AVE, STATEN ISLAND, NY 10306-4925
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
23018866
NY
Other
Enumeration date
07/23/2015
Last updated
10/25/2018
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