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Individual

MR. MICHAL DOMENY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.AC, CD/N

Contact information

Practice address
678 E 24TH ST, BROOKLYN, NY 11210-1132
(347) 693-7659
Mailing address
CMR 402 BOX 1314, APO, AE 09180-0014

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
006241-1
NY
171100000X
Acupuncturist
003443-1
NY
363L00000X
Nurse Practitioner
645452-1
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
337835
NY

Other

Enumeration date
08/20/2008
Last updated
05/18/2023
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