Dominick Distasio
Dominick Distasio is a Case Manager/Care Coordinator in Smithtown, New York. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
11 Route 111Smithtown, NY 11787-3754
Phone: (631) 920-8028
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1740714930 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 14, 2017 |
| Last updated in NPPES | April 14, 2017 |
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