Karen Dominguez, RN
Registered Nurse, Psych/Mental Health in Staten Island, NY. Individual provider (NPI-1).
NPI number1063928331
StatusActive
Last updated in NPPESDec 21, 2017
Details
- NPI
- 1063928331
- Entity type
- Individual (NPI-1)
- Name
- Karen Dominguez
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 21, 2017
- Last updated
- Dec 21, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0808X | Registered Nurse, Psych/Mental Health | 470776 | NY | Yes |
Practice location
777 Seaview AveStaten Island, NY 10305-3409
Phone 718-667-2651
Mailing address
777 Seaview AveStaten Island, NY 10305-3409
Phone 718-667-2651
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