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

Mr. Dominic A Bracco, RPAC

Individual provider Physician Assistant · NPI 1124310164

Mr. Dominic A Bracco, RPAC is a Physician Assistant in Mineola, New York. Qualified in 2010, 16 years ago. Practices with Community Medical Wellness PC, a 22-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
16
Licensed in
NY
In the registry since
2011
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Practice location Address checks out

259 1st St
Mineola, NY 11501-3957
Phone: (516) 663-8312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 013894 (NY)

Record details

NPI number1124310164
Entity typeIndividual (Type 1)
GenderMale
Credentials RPAC
Sole proprietorYes
NPI enumeratedMay 10, 2011
Last updated in NPPESMay 10, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Community Medical Wellness Pc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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