Omar Domenech

NPI 1104185032 - Social Worker - 104100000X

NPI Details
NPI 1104185032
Gender Male
Enumeration Date 05/12/2012
Last Updated 05/12/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
116 W MAIN ST
BABYLON NY, 11702-3437, US
Phone (631) 661-3930
Fax
Business Location
116 W MAIN ST
BABYLON NY, 11702-3437, US
Phone (631) 661-3930
Fax
Toxanomy
Taxonomy Code 104100000X
License State
License Number
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According to our database, Omar Domenech NPI is 1104185032, taxonomy code is 104100000X Omar Domenech physically located at 116 W Main St, Babylon NY, 11702-3437. NPI Number Omar Domenech has the Individual type.

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1104185032 NPI number is provided on an as is basis without warranty of any kind. 1104185032 is maintained by the National Plan & Provider Enumeration System. The contents of Omar Domenech are for informational purposes only.