Individual
ANNA BARBARA DOMINIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
443 39TH ST, BROOKLYN, NY 11232-2907
(718) 431-8725
(718) 431-9709
Mailing address
443 39TH ST, BROOKLYN, NY 11232-2907
(718) 431-8725
(718) 431-9709
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
292502
NY
Other
Enumeration date
03/11/2010
Last updated
03/11/2010
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