Individual
MR. ALEJANDRO FEDERICO DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
71 PROSPECT AVE, HUDSON, NY 12534-2927
(917) 740-7345
Mailing address
16 VAN WINKLE RD, HUDSON, NY 12534-2912
(917) 740-7345
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
021900
NY
Other
Enumeration date
03/07/2018
Last updated
05/15/2023
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