Individual
DR. LOURDES M DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
ALLEN PAVILION 3 RIVER EAST, 5141 BROADWAY, NEW YORK, NY 10034
(212) 932-4165
(212) 932-5369
Mailing address
DEPT OF PSYCHIATRY, TRUSTEES OF COLUMBIA UNIVERSITY, 622 WEST 168TH STREET, BOX 260, NEW YORK, NY 10032
(212) 305-2330
(212) 305-4724
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
171839
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01589844
—
NY
Enumeration date
06/15/2006
Last updated
07/08/2007
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