Individual provider · Type 1 NPI
Carlos Dominguez, NP
Family Nurse Practitioner · New York, NY
NPI number
1386079424
Active
Practice location
622 W 168th St, Aim Clinic VC2
New York, NY 10032-3720
Mailing address
140 Hepburn Rd, Apt 5M
Clifton, NJ 07012-2231
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 337744 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1386079424
Carlos Dominguez, NP's National Provider Identifier is 1386079424, issued on Sep 9, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New York, NY. The record was last updated on Aug 20, 2014.