DOMINIQUE LEIGH PETRIE

MERRICK, NY
NPI1205251014
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2014-03-03
Last Update Date2014-03-03
Business Address
-- DOMINIQUE LEIGH PETRIE PA-C
1732 ALEXIS RD
MERRICK, NY 11566-4821
Phone number: 516-606-0697
Mailing Address
-- DOMINIQUE LEIGH PETRIE PA-C
1732 ALEXIS RD
MERRICK, NY 11566-4821
Phone number: 516-606-0697
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