EMILY DOMB

Social Worker

Active Individual
NPI: 1568991743

Practice Address

299 HALLOCK AVE
Port Jefferson Station, NY 11776

Phone: (631) 473-4284

Specialties

Specialty Code Primary License
Social Worker 104100000X Yes 093973 (NY)

Frequently Asked Questions

NPI 1568991743 is the National Provider Identifier for EMILY DOMB, a Social Worker provider located in Port Jefferson Station, NY. This NPI was enumerated on June 9, 2017.
EMILY DOMB practices at 299 HALLOCK AVE, Port Jefferson Station, NY 11776.

Quick Facts

NPI
1568991743
Type
Individual
Enumerated
Jun 9, 2017
Last Updated
Jun 9, 2017

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