TYESHA DOMINIQUE

NEW YORK, NY
NPI1376714139
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  012331)
Enumeration Date2008-03-19
Last Update Date2008-03-19
Business Address
Mrs. TYESHA DOMINIQUE
312 E 94TH ST
NEW YORK, NY 10128-5604
Phone number: 212-423-3000
Mailing Address
Mrs. TYESHA DOMINIQUE
312 E 94TH ST
NEW YORK, NY 10128-5604
Phone number: 212-423-3000
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