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DOMINGO RIVERA-LAKE, PA

PA

Physician Assistant

NPI: 1225165319Individual

Specialties, Licenses & Credentials

Physician Assistant

Code: 363A00000X

009922(NY)

Contact & Hours

Address
111 E 210TH ST, MMC - DEPT OF RADIOLOGY
BRONX, NY 10467

Quick Facts

NPI
1225165319
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1

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