Individual
NICHOLAS MICHAEL DOMANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
330 BROOKLINE AVE, BETH ISRAEL DEACONESS MEDICAL CENTER DEPT OF PSYCHIATRY, BOSTON, MA 02215
(617) 667-1029
Mailing address
330 BROOKLINE AVE, BETH ISRAEL DEACONESS MEDICAL CENTER DEPT OF PSYCHIATRY, BOSTON, MA 02215
(617) 667-1029
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
272473
MA
2084P0804X
Child & Adolescent Psychiatry Physician
272473
MA
Other
Enumeration date
04/03/2014
Last updated
01/22/2021
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