Dominguez Amadiz, Odeilis Maxiel

Dominguez Amadiz, Odeilis Maxiel is an individual health care provider with primary practice located at 234 E 149Th St , Bronx NY 10451-5504. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics. Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics is her primary health care specialty. Dominguez Amadiz, Odeilis Maxiel can be contacted via phone (718) 579-5000.

Contact Information

Primary practice address
234 E 149Th St Bronx NY 10451-5504
Phone: (718) 579-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 25MA10860700 New Jersey

Profile Details

NPI number 1821519331
LBN Legal business name Dominguez Amadiz, Odeilis Maxiel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2017
Last updated Jun 20th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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