DOMINIQUE ELIZABETH DE MATTEO

STATEN ISLAND, NY
NPI1144858937
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  344046)
Enumeration Date2020-03-29
Last Update Date2020-03-29
Business Address
Miss DOMINIQUE ELIZABETH DE MATTEO NP
108 SIDEVIEW AVE
STATEN ISLAND, NY 10314-3253
Phone number: 718-873-6019
Mailing Address
Miss DOMINIQUE ELIZABETH DE MATTEO NP
108 SIDEVIEW AVE
STATEN ISLAND, NY 10314-3253
Phone number: 718-873-6019
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