MS. Ewelina Domanowski
NPI #1124633169 in Port Jefferson, New York
Provider Information
- NPI Number
- 1124633169
- Entity Type
- Individual
- Name
- MS. Ewelina Domanowski
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Sep 15, 2020
- Last Updated
- Aug 15, 2023
Practice Location
- Address
- 75 N COUNTRY RD
- City
- Port Jefferson
- State
- New York
- ZIP Code
- 11777-2119
- Phone
- (631) 473-1320
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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