Individual
MRS. DOMINIQUE A UVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
600 ROE AVE, ARNOT OGDEN MEDICAL CENTER, ELMIRA, NY 14901
(607) 737-4100
(607) 271-7080
Mailing address
5941 FARRINGTON ROAD, CICERO, NY 13039
(315) 935-3882
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
338763
NY
363LF0000X
Family Nurse Practitioner
338763
NY
363LF0000X
Family Nurse Practitioner
Primary
CNP171181
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0399067
—
NY
05
—
03990672
—
NY
Enumeration date
06/19/2014
Last updated
04/01/2025
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