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NPI Code Detail

MEDICARE: DOMINICK JOHN ANDINO MD

MEDICARE:   DOMINICK JOHN ANDINO  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician129917NY

General Provider Information

NPI Number : 1528227287
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOMINICK JOHN ANDINO MD
Provider Business Mailing Address
First Line : 1435 86TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11228-3403
Country : US
Telephone Number : 718-837-0010
Fax Number :
Provider Business Practice Location Address
First Line : 1435 86TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11228-3403
Country : US
Telephone Number : 718-837-0010
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2008
Last Update Date : 06/06/2008

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Directions to “ DOMINICK JOHN ANDINO MD” Practice Location

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