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1790473940
MARC DOMINGO
BABYLON, NY
NPI
1790473940
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: NY 013504)
Enumeration Date
2023-04-26
Last Update Date
2023-04-26
Business Address
MARC DOMINGO PTA
1026 LITTLE EAST NECK RD
BABYLON, NY 11704-2411
Phone number: 631-560-4548
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Mailing Address
MARC DOMINGO PTA
1026 LITTLE EAST NECK RD
BABYLON, NY 11704-2411
Phone number: 631-560-4548
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