MARITZA DOMINGUEZ

FREEPORT, NY
NPI1457339202
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  F303551)
Enumeration Date2006-01-03
Last Update Date2015-04-20
Business Address
Ms. MARITZA DOMINGUEZ ANP
101 S BERGEN PLACE
FREEPORT, NY 11520
Phone number: 516-623-3600
Mailing Address
Ms. MARITZA DOMINGUEZ ANP
380 NASSAU RD LONG ISLAND FQHC, INC.
ROOSEVELT, NY 11575-1343
Phone number: 516-571-8600
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