MR. Christopher James Dominique, RPA-C
NPI #1104083682 in N Massapequa, New York
Provider Information
- NPI Number
- 1104083682
- Entity Type
- Individual
- Name
- MR. Christopher James Dominique, RPA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Surgical
- Credential
- RPA-C
- Enumeration Date
- May 21, 2008
- Last Updated
- May 21, 2008
Practice Location
- Address
- 15 MARLBORO AVE
- City
- N Massapequa
- State
- New York
- ZIP Code
- 11758-2429
- Phone
- (516) 557-3254
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Surgical — Surgical |
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