DOMINIQUE KETSOGLOU

BAY SHORE, NY
NPI1629838222
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-03-20
Last Update Date2024-03-20
Business Address
DOMINIQUE KETSOGLOU MD
301 E MAIN ST
BAY SHORE, NY 11706-8408
Phone number: 631-968-3000
Mailing Address
DOMINIQUE KETSOGLOU MD
301 E MAIN ST
BAY SHORE, NY 11706-8408
Phone number: 631-968-3000