DOMINIC KALATHIVILA

Nurse Practitioner

NPI: 1326777434IndividualAccepts Medicare

Specialties, Licenses & Credentials

Nurse PractitionerPrimary

Nurse Practitioner

Code: 363L00000X

349267(NY)

CMS Specialties

PrimaryNURSE PRACTITIONER

Education

OTHER

Class of 2021

Contact & Hours

Address: 1 PACE PLZ
NEW YORK, NY 10038
Phone: (866) 722-3338

Location

Practice Location

1 PACE PLZ, NEW YORK, NY

Quick Facts

NPI: 1326777434
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 1
Locations: 1
Years in Practice: 5

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