Search › New York › 183500000X
Roman Domatov
NPI 1811502107 · on the registry since 2020
Practice
- Address
- 9618 67th Ave
Rego Park, NY 11374 - Phone
- (917) 974-3739
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-09-13
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