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Tyesha Dominique
NPI 1376714139 · on the registry since 2008
Practice
- Address
- 312 E 94th St
New York, NY 10128 - Phone
- (212) 423-3000
- Fax
- (212) 423-2920
- Clinicians at this address
- 15
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-03-19
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