Individual
MR. DOMINIC SUCCOUR GOMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
GRASSLAND ROAD, VALHALLA, NY 10595
(914) 493-7000
Mailing address
50 E HARTSDALE AVE, APT 5T, HARTSDALE, NY 10530-2725
(914) 607-2411
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
503008
NY
Other
Enumeration date
08/25/2006
Last updated
04/15/2011
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