Individual
MS. DANIELLE DIANAH DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3711 35TH AVE STE 3C, ASTORIA, NY 11101-1441
(718) 706-7500
Mailing address
3711 35TH AVE STE 3C, ASTORIA, NY 11101-1441
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NY
Other
Enumeration date
06/14/2017
Last updated
06/14/2017
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