Individual
ANA K. DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
141 N CENTRAL AVE, C/O WJCS, HARTSDALE, NY 10530-1912
(914) 949-7699
(914) 949-3224
Mailing address
55 EMPIRE ST, YONKERS, NY 10704-3005
(914) 949-7699
(914) 949-3224
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/11/2013
Last updated
10/09/2017
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