Organization
DOMINION HEALTH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ESTHER PHYLLIS PELLMUTTER (MD, CEO)
(718) 436-0037
Entity
Organization
Contact information
Practice address
109 517TH ST, SUITE 25, CHEYENNE, WY 82001
(718) 436-0037
(718) 853-3269
Mailing address
5001A 15TH AVE., BROOKLYN, NY 11219
(718) 436-0037
(718) 853-3269
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/04/2011
Last updated
02/04/2011
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