DOMINIC SUCCOUR GOMES

VALHALLA, NY
NPI1801904560
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NY  503008)
Enumeration Date2006-08-25
Last Update Date2011-04-15
Business Address
Mr. DOMINIC SUCCOUR GOMES CRNA
GRASSLAND ROAD
VALHALLA, NY 10595
Phone number: 914-493-7000
Mailing Address
Mr. DOMINIC SUCCOUR GOMES CRNA
50 E HARTSDALE AVE APT 5T
HARTSDALE, NY 10530-2725
Phone number: 914-607-2411
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