Individual
MRS. TENZING DOMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
121 DEKALB AVE, BROOKLYN, NY 11201-5493
(718) 250-8000
Mailing address
121 DEKALB AVE, BROOKLYN, NY 11201-5493
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
383485
NY
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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