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Dominque Larosa
NPI 1225707029 · on the registry since 2021
Practice
- Address
- 4816 30th Ave Apt 2j
Astoria, NY 11103 - Phone
- (516) 884-2624
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-09-07
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