Individual
DR. DOMINIC KANHAI HARDATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMSC, PA-C
Contact information
Practice address
5828 99TH ST, CORONA, NY 11368-4306
(718) 502-9867
Mailing address
5828 99TH ST, CORONA, NY 11368-4306
(718) 502-9867
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
013530
NY
Other
Enumeration date
10/22/2009
Last updated
10/30/2025
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