Individual
DR. JACQUES REGINE DOMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8900 VAN WYCK EXPY, JAMAICA, NY 11418-2832
(718) 206-6070
Mailing address
200 CARMAN AVE, APT H-6, EAST MEADOW, NY 11554
(516) 495-4778
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
248489
NY
208000000X
Pediatrics Physician
248489
NY
Other
Enumeration date
06/05/2007
Last updated
12/22/2014
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