Individual provider · Type 1 NPI
Grace Rita R. Domingo, NP
Family Nurse Practitioner · New York, NY
NPI number
1689742694
Active
Practice location
530 1st Ave # SKI-9R, Leon H Charney Division Of Cardiology
New York, NY 10016-6402
Fax (212) 263-3988
Mailing address
530 1st Ave, SKI-9R
New York, NY 10016-6497
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 334785-1 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1689742694
Grace Rita R. Domingo, NP's National Provider Identifier is 1689742694, issued on Nov 30, 2006. 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 Jul 12, 2011.