DANIEL JOSE IDOATE DOMENCH

STATEN ISLAND, NY
NPI1144901752
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-07-27
Last Update Date2026-06-22
Business Address
DANIEL JOSE IDOATE DOMENCH
475 SEAVIEW AVE
STATEN ISLAND, NY 10305-3436
Phone number: 718-226-9000
Mailing Address
DANIEL JOSE IDOATE DOMENCH
475 SEAVIEW AVE
STATEN ISLAND, NY 10305-3436
Phone number: 718-226-9000
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