CARLOS DOMINGUEZ

NEW YORK, NY
NPI1386079424
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  337744)
Enumeration Date2013-09-09
Last Update Date2014-08-20
Business Address
-- CARLOS DOMINGUEZ NP
622 W 168TH ST AIM CLINIC VC2
NEW YORK, NY 10032-3720
Phone number: 212-305-6262
Mailing Address
-- CARLOS DOMINGUEZ NP
140 HEPBURN RD APT 5M
CLIFTON, NJ 07012-2231
Phone number: 201-478-2205