Ivan Dominguez MD

NPI 1104070705 - Surgery - 2086S0129X

NPI Details
NPI 1104070705
Gender Male
Enumeration Date 11/10/2008
Last Updated 07/10/2012
Entity Type Individual
Active Over 8 years ago
Practice Location
100 HIGH ST
STE A2
BUFFALO NY, 14203-1126, US
Phone (716) 859-3301
Fax (716) 859-3398
Business Location
908 NIAGARA FALLS BLVD
STE 208
N TONAWANDA NY, 14120-2019, US
Phone (716) 692-3302
Fax (716) 332-3525
Toxanomy
Taxonomy Code 2086S0129X
License State New York
License Number 265300
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According to our database, Dr. Ivan Dominguez MD NPI is 1104070705, taxonomy code is 2086S0129X and license number is 265300, license state is located at New York. Ivan Dominguez MD physically located at 100 High St, Buffalo NY, 14203-1126. NPI Number Ivan Dominguez MD has the Individual type.

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1104070705 NPI number is provided on an as is basis without warranty of any kind. 1104070705 is maintained by the National Plan & Provider Enumeration System. The contents of Ivan Dominguez MD are for informational purposes only.