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Individual

DR. DOMINIQUE AIMEE JEAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1400 PELHAM PKWY S RM BS40, BRONX, NY 10461-1119
(718) 918-5131
Mailing address
2214 FREDERICK DOUGLASS BLVD, NEW YORK, NY 10026-1123
(516) 972-8927

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
300139
NY
207LP3000X
Pediatric Anesthesiology Physician
Primary
300139
NY
207LP3000X
Pediatric Anesthesiology Physician
32732
OK
207LP3000X
Pediatric Anesthesiology Physician
A108347
CA

Other

Enumeration date
05/09/2009
Last updated
12/05/2025
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