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Individual

DR. LISA A DEDOMENICO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
65 PARROTT RD, WEST NYACK, NY 10994-1025
(845) 627-4829
Mailing address
68 E SUNNYSIDE LN, IRVINGTON, NY 10533-1004

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
017810
NY

Other

Enumeration date
05/13/2011
Last updated
05/13/2011
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