SearchNew York104100000X

Junior Tavarez-Dominguez

NPI 1124710074 · on the registry since 2023 · sole proprietor

Practice

Address
9219 92nd Ave
Woodhaven, NY 11421
Phone
(718) 916-5071

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-05-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York