JUAN DOMINGUEZ

Contractor

NPI: 1619835642Individual

Specialties, Licenses & Credentials

ContractorPrimary

Contractor

Code: 171W00000X

204552(NY)

Contact & Hours

Address: 24 BERKLEY RD
MINEOLA, NY 11501
Phone: (516) 274-0606

Quick Facts

NPI: 1619835642
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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