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1689742694
GRACE RITA R DOMINGO
NEW YORK, NY
NPI
1689742694
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Other Name
GRACE R DOMINGO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 334785-1)
Enumeration Date
2006-11-30
Last Update Date
2011-07-12
Business Address
Mrs. GRACE RITA R DOMINGO NP
530 1ST AVE # SKI-9R LEON H CHARNEY DIVISION OF CARDIOLOGY
NEW YORK, NY 10016-6402
Phone number: 212-263-8177
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Mailing Address
Mrs. GRACE RITA R DOMINGO NP
530 1ST AVE SKI-9R
NEW YORK, NY 10016-6497
Phone number: 212-263-8177
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