Graceann Dominguez

NPI 1619453792 · on the registry since 2018 · sole proprietor

Practice

Address: 706 Executive Blvd
Valley Cottage, NY 10989
Phone: (845) 362-3904
Organisation at this address: Elite Social Adult Day Care Llc
Lexington Center For Recovery, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 37

Registry record

Primary taxonomy: 163W00000X
163W00000X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2018-07-12

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