Individual
MARIA DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1425 PORTLAND AVE, EMERGENCY, ROCHESTER, NY 14621-3001
(585) 922-4000
Mailing address
1425 PORTLAND AVE, EMERGENCY, ROCHESTER, NY 14621-3001
(585) 922-4000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
260757
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03347537
—
NY
Enumeration date
03/21/2011
Last updated
09/16/2022
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