Individual
DR. EDWIN A DOMINGUEZ ALMONTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
388 E FORDHAM RD, BRONX, NY 10458
(718) 489-3553
(718) 489-3554
Mailing address
1345 RXR PLZ FL 13, UNIONDALE, NY 11556-1301
(516) 453-0435
(646) 846-3283
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
290649
NY
Other
Enumeration date
08/28/2012
Last updated
07/19/2019
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