Individual
MR. DOMINADOR DOROMAL APURA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, PTA
Contact information
Practice address
160 WAHL AVE, INWOOD, NY 11096-1350
(516) 239-2934
Mailing address
160 WAHL AVE, INWOOD, NY 11096-1350
(516) 239-2934
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
003541-1
NY
225700000X
Massage Therapist
Primary
023447-1
NY
Other
Enumeration date
02/16/2010
Last updated
02/16/2010
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