MS. Domenique B Canino, MS.ED

NPI #1295086759 in Highland, New York

Provider Information

NPI Number: 1295086759
Entity Type: Individual
Name: MS. Domenique B Canino, MS.ED
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: MS.ED
Enumeration Date: Sep 25, 2012
Last Updated: Jun 5, 2013

Practice Location

Address: 53 MAIN ST
City: Highland
State: New York
ZIP Code: 12528-1407
Phone: (914) 474-4052

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary
Speech-Language Pathologist	235Z00000X

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