Individual
ISMAEL DOMINGUEZ ROSADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1275 YORK AVE, H-1206, NEW YORK, NY 10065-6007
(212) 639-7537
Mailing address
1233 YORK AVE APT 9O, NEW YORK, NY 10065-6342
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
P92540
NY
Other
Enumeration date
05/01/2014
Last updated
05/01/2014
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