Provider Demographics
NPI:1548249832
Name:CIMATO, DOMINIC A (DO)
Entity type:Individual
Prefix:DR
First Name:DOMINIC
Middle Name:A
Last Name:CIMATO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:6255 SHERIDAN DR
Mailing Address - Street 2:SUITE 304
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-4836
Mailing Address - Country:US
Mailing Address - Phone:716-857-8666
Mailing Address - Fax:716-857-8944
Practice Address - Street 1:295 ESSJAY RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-8216
Practice Address - Country:US
Practice Address - Phone:716-877-3007
Practice Address - Fax:716-877-3812
Is Sole Proprietor?:No
Enumeration Date:2006-01-13
Last Update Date:2009-11-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY192038-1207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY161000580OtherNORTH AMERICAN PREFERRED
NY0106303OtherIHA
NY000511817002OtherHEALTH NOW
NY0510280000024OtherFIDELIS
NY161000580OtherCIGNA
NY00010032002OtherUNIVERA
NY161000580OtherEMPIE PLAN
NY01545702Medicaid
NY0510280000024OtherFIDELIS
NY161000580OtherCIGNA