Roshan Dominic
NPI #1386287134 in Mohegan Lake, New York
Provider Information
- NPI Number
- 1386287134
- Entity Type
- Individual
- Name
- Roshan Dominic
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Oct 24, 2019
- Last Updated
- Oct 2, 2020
Practice Location
- Address
- 2923 LEXINGTON AVE
- City
- Mohegan Lake
- State
- New York
- ZIP Code
- 10547-1836
- Phone
- (516) 606-2845
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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