Diane J Dominico RIGISTERED NURSE

NPI 1699969501 - Registered Nurse - 163W00000X

NPI Details
NPI 1699969501
Gender Female
Enumeration Date 09/04/2007
Last Updated 09/04/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
69 N COLEMAN RD
CENTEREACH NY, 11720-3064, US
Phone (631) 696-5694
Fax
Business Location
69 N COLEMAN RD
CENTEREACH NY, 11720-3064, US
Phone (631) 696-5694
Fax
Toxanomy
Taxonomy Code 163W00000X
License State New York
License Number 444171-1
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According to our database, Diane J Dominico RIGISTERED NURSE NPI is 1699969501, taxonomy code is 163W00000X and license number is 444171-1, license state is located at New York. Diane J Dominico RIGISTERED NURSE physically located at 69 N Coleman Rd, Centereach NY, 11720-3064. NPI Number Diane J Dominico RIGISTERED NURSE has the Individual type.

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1699969501 NPI number is provided on an as is basis without warranty of any kind. 1699969501 is maintained by the National Plan & Provider Enumeration System. The contents of Diane J Dominico RIGISTERED NURSE are for informational purposes only.