Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Domenick Coffaro

Individual provider Pharmacist · NPI 1700054483

Mr. Domenick Coffaro is a Pharmacist in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2008
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Practice location Address checks out

1351 Forest Ave
Staten Island, NY 10302-2027
Phone: (718) 448-6758
Fax: (718) 981-0540
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 034009-1 (NY)

Record details

NPI number1700054483
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 14, 2008
Last updated in NPPESFebruary 14, 2008

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