Individual
MS. GLORIA MARGARITA DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
128 MOTT ST, 4TH FLOOR, NEW YORK, NY 10013-5540
(212) 219-2723
(212) 219-3086
Mailing address
128 MOTT ST, 4TH FLOOR, NEW YORK, NY 10013-5540
(212) 219-2723
(212) 219-3086
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
F000809
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02179711
—
NY
Enumeration date
02/16/2007
Last updated
10/18/2007
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