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Individual

MARC DOMINGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
1026 LITTLE EAST NECK RD, BABYLON, NY 11704-2411
(631) 560-4548
Mailing address
1026 LITTLE EAST NECK RD, BABYLON, NY 11704-2411
(631) 560-4548

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
013504
NY

Other

Enumeration date
04/26/2023
Last updated
04/26/2023
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