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1538811708
MICHAEL DOMINIAK
HICKSVILLE, NY
NPI
1538811708
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-01-19
Last Update Date
2022-01-19
Business Address
MICHAEL DOMINIAK PA-C
232 W OLD COUNTRY RD
HICKSVILLE, NY 11801-4011
Phone number: 917-310-3371
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Mailing Address
MICHAEL DOMINIAK PA-C
2417 UNION BLVD APT 1A
ISLIP, NY 11751-3110
Phone number: 631-338-8480
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