Dominic John Altieri, MD
Radiology, Diagnostic Radiology in Stony Brook, NY. Individual provider (NPI-1).
NPI number1235275496
StatusActive
Last updated in NPPESNov 2, 2007
Details
- NPI
- 1235275496
- Entity type
- Individual (NPI-1)
- Name
- Dominic John Altieri
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 29, 2007
- Last updated
- Nov 2, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 165242-1 | NY | Yes |
Practice location
2500 Nesconset Hwy Bldg 15aStony Brook, NY 11790-2554
Phone 631-751-2900 · Fax 631-751-2051
Mailing address
Po Box 13477Hauppauge, NY 11788-0768
Phone 631-952-5701 · Fax 631-952-5740
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