Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dominic Cotumaccio, PA

Individual provider Medical Physician Assistant · NPI 1619700770

Dominic Cotumaccio, PA is a Medical Physician Assistant in Hicksville, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2024
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

81 N Broadway
Hicksville, NY 11801-2920
Phone: (516) 933-4350
Fax: (516) 933-4352
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X (NY)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1619700770
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedAugust 23, 2024
Last updated in NPPESAugust 23, 2024
Certification dateAugust 23, 2024

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