MARTHA DOMINGUEZ

BRONX, NY
NPI1669860912
Professional NameMARTHA DOMINGUEZ
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NY  P90854)
Enumeration Date2015-01-08
Last Update Date2015-01-08
Business Address
-- MARTHA DOMINGUEZ
3600 JEROME AVE
BRONX, NY 10467
Phone number: 917-612-9054
Mailing Address
-- MARTHA DOMINGUEZ
370 E 160TH ST
BRONX, NY 10451-4404
Phone number: 718-309-3090