Individual provider · Type 1 NPI

Kristen Domingo

Specialist · Oakdale, NY

NPI number 1417480591 Active

Practice location

228 Matthews Rd
Oakdale, NY 11769-1845

Call (917) 886-1505 Map

Mailing address

228 Matthews Rd.
Oakdale, NY 11769-1845

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1417480591

Kristen Domingo's National Provider Identifier is 1417480591, issued on Apr 6, 2017. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Oakdale, NY. The record was last updated on Apr 6, 2017.