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1386079424
CARLOS DOMINGUEZ
NEW YORK, NY
NPI
1386079424
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 337744)
Enumeration Date
2013-09-09
Last Update Date
2014-08-20
Business Address
-- CARLOS DOMINGUEZ NP
622 W 168TH ST AIM CLINIC VC2
NEW YORK, NY 10032-3720
Phone number: 212-305-6262
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Mailing Address
-- CARLOS DOMINGUEZ NP
140 HEPBURN RD APT 5M
CLIFTON, NJ 07012-2231
Phone number: 201-478-2205
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