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1326777434
DOMINIC DON KALATHIVILA
NEW YORK, NY
NPI
1326777434
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NY 349267)
Enumeration Date
2022-06-06
Last Update Date
2022-06-06
Business Address
DOMINIC DON KALATHIVILA
1 PACE PLZ
NEW YORK, NY 10038-1598
Phone number: 866-722-3338
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Mailing Address
DOMINIC DON KALATHIVILA
605 LOWELL AVE
NEW HYDE PARK, NY 11040-3016
Phone number: 516-884-2047
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