EMILISSA JANE DOMINGO

WEST ISLIP, NY
NPI1053578476
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: NY  243270)
Enumeration Date2008-05-22
Last Update Date2008-05-22
Business Address
Dr. EMILISSA JANE DOMINGO D.O.
1000 MONTAUK HWY
WEST ISLIP, NY 11795-4927
Phone number: 631-376-4045
Mailing Address
Dr. EMILISSA JANE DOMINGO D.O.
30 8TH AVE
FARMINGDALE, NY 11735-5738
Phone number: 516-293-0451
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