Individual
JULIANA DOMFEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
THIRD AVENUE AND 183RD STREET, BRONX, NY 10457
(718) 960-9000
Mailing address
3640 BRONX BLVD APT 4F, BRONX, NY 10467-5457
(718) 652-3618
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
012081
NY
Other
Enumeration date
10/01/2007
Last updated
10/01/2007
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