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Dominique Adames

Physician Assistant in Jamaica, NY. Individual provider (NPI-1).

NPI number1083273999
StatusActive
Last updated in NPPESJun 13, 2019

Details

NPI
1083273999
Entity type
Individual (NPI-1)
Name
Dominique Adames
Sex
Male
Sole proprietor
No
Enumeration date
Jun 13, 2019
Last updated
Jun 13, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant––Yes

Practice location

8268 164th St
Jamaica, NY 11432-1121

Phone 718-883-3090

Mailing address

8268 164th St
Jamaica, NY 11432-1121

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