Patacsil, Domiciano

Patacsil, Domiciano is an individual health care provider with primary practice located at 400 Patroon Creek Blvd Suite 101, Albany NY 12206. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Anatomic Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology is his primary health care specialty. Patacsil, Domiciano can be contacted via phone (518) 435-8360.

Contact Information

Primary practice address
400 Patroon Creek Blvd Suite 101 Albany NY 12206
Phone: (518) 435-8360
Fax: (518) 435-8391
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 134434 New York
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 134434 New York

Profile Details

NPI number 1649209735
LBN Legal business name Patacsil, Domiciano
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2006
Last updated Mar 4th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1649209735 NPPES
New York MEDICAID 01332067

Popular Providers