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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 Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for DOMINGO C FAVALE · (Male)

NPI # 1801818760
Status Active
Credentials
Entity Individual
Enumeration date 07/23/2006
Last updated 10/20/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 157064
  • PA License # MD478550
  • NY Medicaid 01360925
  • NY Other 13769 AETNA HMO
  • NY Other WS548 OXFORD
Hospital affiliation(s)
  • HUDSON VALLEY HOSPITAL CENTER - (Acute Care)
    1980 CROMPOND ROAD
    CORTLANDT MANOR, NY 10567
  • PUTNAM HOSPITAL CENTER - (Acute Care)
    670 STONELEIGH AVENUE
    CARMEL, NY 10512
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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