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Search › New York › 225200000X

Dominique Jean, PTA

NPI 1710444237 · on the registry since 2019 · sole proprietor

Practice

Address
19544 Woodhull Ave
Hollis, NY 11423
Phone
(646) 528-0327
Organisation at this address
Hollis Operating Co Llc
Holliswood Care Center Inc
Campbell And Santoro Psychologists, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-02-21

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