Craniofacial Surgery, P.C.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

87053 Issued in FL

Legal business name

CRANIOFACIAL SURGERY, P.C.

Practice address

155 Country Ridge Rd
Scarsdale, NY 10583-6625

Phone

(786) 380-0650

Fax

(914) 723-9236

NPI assigned

Feb 3, 2009

Last updated

Feb 3, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Dominick I. Golio, M.D.

Title

President and Ceo

Phone

(212) 628-8880

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233619200000",
    "number": "1144468877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 PARK AVE",
            "address_2": "STE 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280212",
            "telephone_number": "212-628-8880",
            "fax_number": "800-476-4306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 COUNTRY RIDGE RD",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105836625",
            "telephone_number": "786-380-0650",
            "fax_number": "914-723-9236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANIOFACIAL SURGERY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-03",
        "last_updated": "2009-02-03",
        "status": "A",
        "authorized_official_last_name": "GOLIO",
        "authorized_official_first_name": "DOMINICK",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "212-628-8880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "87053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Plastic Surgery Physician in Scarsdale, NY
• Providers in Scarsdale, NY by specialty
• Plastic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.