Individual
LUIS ROBERTO DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
84 HARVARD DR, HARTSDALE, NY 10530-2020
(914) 262-7429
Mailing address
84 HARVARD DR, HARTSDALE, NY 10530-2020
(914) 262-7429
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
010449
NY
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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