Kristen Domingo

NPI #1417480591 in Oakdale, New York

Provider Information

NPI Number
1417480591
Entity Type
Individual
Name
Kristen Domingo
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist
Enumeration Date
Apr 6, 2017
Last Updated
Apr 6, 2017

Practice Location

Address
228 MATTHEWS RD
ZIP Code
11769-1845
Phone
(917) 886-1505

Specialties & Taxonomy Codes

Specialty
Specialist

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