DAVID BUCAO DOMINGO

RONKONKOMA, NY
NPI1770615486
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NY  F303626)
Enumeration Date2007-03-09
Last Update Date2011-09-16
Business Address
Mr. DAVID BUCAO DOMINGO NP
3505 VETERANS MEMORIAL HWY.
RONKONKOMA, NY 11779
Phone number: 631-676-7656
Mailing Address
Mr. DAVID BUCAO DOMINGO NP
3505 VETERANS MEMORIAL HWY.
RONKONKOMA, NY 11779
Phone number: 631-676-7656
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