Individual
CELINE MARIELLE DOMINGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
675 3RD AVE, 5TH FLOOR, NEW YORK, NY 10017-5704
(212) 922-1001
Mailing address
675 3RD AVE # 5F, NEW YORK, NY 10017-5704
(212) 922-1001
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
38754
NY
Other
Enumeration date
04/06/2016
Last updated
07/21/2021
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