Dominguez, Gloria Margarita

Dominguez, Gloria Margarita is an individual health care provider with primary practice located at 128 Mott St 4Th Floor, New York NY 10013-5540. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Dominguez, Gloria Margarita can be contacted via phone (212) 219-2723.

Contact Information

Primary practice address
128 Mott St 4Th Floor New York NY 10013-5540
Phone: (212) 219-2723
Fax: (212) 219-3086
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X F000809 New York

Profile Details

NPI number 1083758650
LBN Legal business name Dominguez, Gloria Margarita
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2007
Last updated Oct 18th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1083758650 NPPES
New York MEDICAID 02179711

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