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Thomas Denapoli

Physician Assistant, Surgical in Lynbrook, NY. Individual provider (NPI-1).

NPI number1003322751
StatusActive
Last updated in NPPESMar 29, 2019

Details

NPI
1003322751
Entity type
Individual (NPI-1)
Name
Thomas Denapoli
Sex
Male
Sole proprietor
No
Enumeration date
Dec 18, 2017
Last updated
Mar 29, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AS0400X Physician Assistant, Surgical021674NYYes

Practice location

444 Merrick Rd
Lynbrook, NY 11563-2460

Phone 516-536-3800 · Fax 516-536-4588

Mailing address

45 Crossways Park Dr W
Woodbury, NY 11797-2002

Phone 516-422-8080 · Fax 516-992-4637

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