Favale, Domingo Cp

Favale, Domingo Cp is an individual health care provider with primary practice located at 1985 Crompond Road Bldg D, Cortlandt Manor NY 10567. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Favale, Domingo Cp can be contacted via phone (914) 739-1219.

Contact Information

Primary practice address
1985 Crompond Road Bldg D Cortlandt Manor NY 10567
Phone: (914) 739-1219
Fax: (914) 739-2353
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 157064 New York
Allopathic & Osteopathic Physicians / Urology 208800000X MD478550 Pennsylvania

Profile Details

NPI number 1801818760
LBN Legal business name Favale, Domingo Cp
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2006
Last updated Oct 20th, 2023 - about last year

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 1801818760 NPPES
New York Other 13769 AETNA HMO
New York MEDICAID 01360925 AETNA HMO
New York Other WS548 AETNA HMO

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