RUCHOMA A DOMOSH

NEW YORK, NY
NPI1144612763
Former NameRUCHOMA AVIGAIL KAGANOFF
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  682398)
Additional Taxonomies363LP0200X Nurse Practitioner, Pediatrics
(Licence: NJ  26NJ15036700)
Enumeration Date2015-02-19
Last Update Date2024-03-23
Business Address
Mrs. RUCHOMA A DOMOSH APN, RN
37 W 26TH ST
NEW YORK, NY 10010-1006
Phone number: 212-696-1550
Mailing Address
Mrs. RUCHOMA A DOMOSH APN, RN
109A RENA LN
LAKEWOOD, NJ 08701-5290
Phone number: 646-942-8882