Healthcare Provider Details

I. General information

NPI: 1598820698
Provider Name (Legal Business Name): JOSEPH ONORATO M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2006
Last Update Date: 01/25/2024
Certification Date: 01/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

54 NEW HYDE PARK RD
GARDEN CITY NY
11530-3909
US

IV. Provider business mailing address

54 NEW HYDE PARK RD
GARDEN CITY NY
11530-3909
US

V. Phone/Fax

Practice location:
  • Phone: 516-488-1313
  • Fax: 516-488-3449
Mailing address:
  • Phone: 516-488-1313
  • Fax: 516-488-3449

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207ND0900X
TaxonomyDermatopathology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSEPH ONORATO
Title or Position: PRESIDENT
Credential: M.D.
Phone: 516-488-1313