Individual
CLARENCE JOSE DOMINGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
88 GREENWAY W, MANHASSET HILLS, NY 11040-2225
(917) 916-6310
Mailing address
88 GREENWAY W, MANHASSET HILLS, NY 11040-2225
(917) 916-6310
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
022940
NY
Other
Enumeration date
05/08/2007
Last updated
01/11/2011
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