Acquista, Domenick

Acquista, Domenick is an individual health care provider with primary practice located at 110 E 59Th St Rm 10C , New York NY 10022-1365. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Acquista, Domenick can be contacted via phone (122) 434-4180.

Contact Information

Primary practice address
110 E 59Th St Rm 10C New York NY 10022-1365
Fax: (212) 434-4119
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 265411 New York

Profile Details

NPI number 1225270879
LBN Legal business name Acquista, Domenick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2009
Last updated May 20th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225270879 NPPES
New York MEDICAID 03484493

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