Provider Demographics
NPI:1962559179
Name:ARTUSO, DOMINICK PAUL (MD)
Entity type:Individual
Prefix:DR
First Name:DOMINICK
Middle Name:PAUL
Last Name:ARTUSO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:247 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:PLEASANTVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10570-2305
Mailing Address - Country:US
Mailing Address - Phone:914-769-0309
Mailing Address - Fax:914-693-2877
Practice Address - Street 1:128 ASHFORD AVE
Practice Address - Street 2:
Practice Address - City:DOBBS FERRY
Practice Address - State:NY
Practice Address - Zip Code:10522-1924
Practice Address - Country:US
Practice Address - Phone:914-693-0055
Practice Address - Fax:914-693-2877
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NY173525208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYC33298Medicare UPIN