MRS. TYESHA DOMINIQUE
Physician Assistant
Active
Individual
NPI: 1376714139
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 012331 (NY) |
Frequently Asked Questions
NPI 1376714139 is the National Provider Identifier for MRS. TYESHA DOMINIQUE, a Physician Assistant provider located in New York, NY. This NPI was enumerated on March 19, 2008.
MRS. TYESHA DOMINIQUE practices at 312 E 94TH ST, New York, NY 10128.
Quick Facts
- NPI
- 1376714139
- Type
- Individual
- Enumerated
- Mar 19, 2008
- Last Updated
- Mar 19, 2008
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