National Provider Identifier Database

DOMINGO C FAVALE
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.


Contact Information

DOMINGO C FAVALE
1985 CROMPOND ROAD
BLDG D
CORTLANDT MANOR, NY10567
Phone: 914-739-1219
Fax: 914-739-2353
Website:
Specialty Taxonomy Code
* Urology 208800000X

* Indicates primary specialty

NPI Profile & details for DOMINGO C FAVALE

NPI Number 1801818760
Credentials
Entity Individual
Enumeration date 07/23/2006
Last updated 10/20/2023 - About 3 years ago
Sole proprietor1 No
Identifiers
  • NY License #: 157064
  • PA License #: MD478550
  • NY Medicaid: 01360925
  • NY Other: 13769 AETNA HMO
  • NY Other: WS548 OXFORD
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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