Individual
ARLETTE ANNERIS DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
92 RAYNOR RD, RIDGE, NY 11961-1904
(347) 431-6666
Mailing address
10819 ROCKAWAY BLVD, SOUTH OZONE PARK, NY 11420-1034
(718) 845-2620
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
013199
NY
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
08/06/2020
Last updated
05/16/2024
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