Individual
MARIA DOMANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
256 MASON AVE, BUILDING C, STATEN ISLAND, NY 10305-3408
(718) 226-6400
(718) 226-6404
Mailing address
256 MASON AVE, BUILDING C, STATEN ISLAND, NY 10305-3408
(718) 226-6400
(718) 226-6404
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
07971
NY
Other
Enumeration date
05/21/2009
Last updated
05/21/2009
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