Organization
DAC MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY J MOSOMILLO NMOMM (MEDICAL DIRECTOR)
(631) 661-6611
Entity
Organization
Contact information
Practice address
426 GREAT EAST NECK RD # C, WEST BABYLON, NY 11704-7626
(631) 661-6611
(631) 661-5504
Mailing address
426 GREAT EAST NECK RD # C, WEST BABYLON, NY 11704-7626
(631) 661-6611
(631) 661-5504
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
185229
NY
Other
Enumeration date
12/19/2006
Last updated
08/19/2010
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