Lorena Dominguez, PA-C

NPI #1023612397 in Brooklyn, New York

Provider Information

NPI Number: 1023612397
Entity Type: Individual
Name: Lorena Dominguez, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 25, 2020
Last Updated: Nov 25, 2020

Practice Location

Address: 236 BROADWAY
City: Brooklyn
State: New York
ZIP Code: 11211-6289
Phone: (718) 804-5939

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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