| Domingo Cp Favale, | |
|
1985 Crompond Road, Bldg D, Cortlandt Manor, NY 10567 | |
| (914) 739-1219 | |
| (914) 739-2353 |
| Full Name | Domingo Cp Favale |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 45 Years |
| Location | 1985 Crompond Road, Cortlandt Manor, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801818760 | NPI | - | NPPES |
| 13769 | Other | NY | AETNA HMO |
| 01360925 | Medicaid | NY | |
| WS548 | Other | NY | OXFORD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 157064 (New York) | Secondary |
| 208800000X | Urology | MD478550 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Penn Highland Dubois | Dubois, PA | Hospital |
| Upmc Altoona | Altoona, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Pittsburgh Physicians | 8729990239 | 3868 |
| Entity Name | St Lukes Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062 |
| Entity Name | University Of Pittsburgh Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619935004 PECOS PAC ID: 8729990239 Enrollment ID: O20040308000883 |
| Entity Name | Pinnacle Health Medical Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932143427 PECOS PAC ID: 7618960493 Enrollment ID: O20040407000180 |
| Mailing Address | Practice Location Address |
|---|---|
| Domingo Cp Favale, 2649 Strang Blvd Ste 304, Yorktown Heights, NY 10598-2938 Ph: (914) 739-0087 | Domingo Cp Favale, 1985 Crompond Road, Bldg D, Cortlandt Manor, NY 10567 Ph: (914) 739-1219 |
David S Breslin, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1978 Crompond Rd, Care Mount Medical Pc, Cortlandt Manor, NY 10567 Phone: 914-739-2121 Fax: 914-242-1516 | |
Dr. Antoinette Berkeley-gsegnet, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1985 Crompond Rd, Bldg D, Cortlandt Manor, NY 10567 Phone: 914-739-1219 Fax: 914-739-2353 | |
Michael J Altamura, M.D. Urology Medicare: Medicare Enrolled Practice Location: 1978 Crompond Rd, Care Mount Medical Pc, Cortlandt Manor, NY 10567 Phone: 914-739-2121 Fax: 914-242-1516 | |
Marc D Danziger, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1978 Crompond Rd, Cortlandt Manor, NY 10567 Phone: 914-737-8675 Fax: 914-737-6016 |