Altieri, Dominic John
Altieri, Dominic John is an individual health care provider with primary practice located at 2500 Nesconset Hwy Bldg 15A , Stony Brook NY 11790-2554. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Altieri, Dominic John can be contacted via phone (631) 751-2900.Contact Information
Primary practice address
2500 Nesconset Hwy Bldg 15A
Stony Brook NY 11790-2554
Phone: (631) 751-2900
Fax: (631) 751-2051
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 165242-1 | New York |
Profile Details
| NPI number | 1235275496 |
|---|---|
| LBN Legal business name | Altieri, Dominic John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 29th, 2007 |
| Last updated | Nov 2nd, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235275496 | NPPES |
| New York | MEDICAID | 01144930 |
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