David Bucao Domingo in Ronkonkoma - Nurse Practitioner

David Bucao Domingo - NPI 1770615486

David Bucao Domingo is a Nurse Practitioner in Ronkonkoma, New York. David Bucao Domingo practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for David Bucao Domingo is 1770615486. The last update date is 2011-09-16.

David Bucao Domingo's current location address is 3505 Veterans Memorial Hwy., Ronkonkoma, New York. You can contact this provider via phone number 6316767656 and fax number 6316767648. The mailing address for David Bucao Domingo is 3505 Veterans Memorial Hwy., Ronkonkoma, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name David Bucao Domingo
Address 3505 Veterans Memorial Hwy., Ronkonkoma, New York
Phone Number 6316767656
Fax Number 6316767648
Sole Proprietor N
Credentials NP

NPI Number Detail

NPI Number 1770615486
Provider Enumeration Date 2007-03-09
Last Updated Date 2011-09-16

Provider Mailing Address Detail

Address 3505 Veterans Memorial Hwy.
City Ronkonkoma
State New York (NY)
Post Code 11779
Phone Number 6316767656
Fax Number 6316767648

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No F303626
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2662297 NY --

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FAQs about David Bucao Domingo

What is the unique identifier code issued to David Bucao Domingo by the Centers for Medicare & Medicaid Services (CMS)?

The David Bucao Domingo has been assigned the NPI (National Provider Identifier) 1770615486. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where David Bucao Domingo is physically located?

The David Bucao Domingo is physically situated at the following address: 3505 Veterans Memorial Hwy., Ronkonkoma, NY, 11779.

What is David Bucao Domingo's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for David Bucao Domingo is Nurse Practitioner, and the taxonomy code that categorizes this field of expertise is 363L00000X.

On what date did the David Bucao Domingo receive the assignment of its 1770615486 from the Centers for Medicare & Medicaid Services?

The David Bucao Domingo was issued its 1770615486 by the Centers for Medicare & Medicaid Services on 2007-03-09.

When was the David Bucao Domingo's information last updated?

The David Bucao Domingo's information was last updated on 2011-09-16.

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