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:
Health care specialties
| Specialty | Code | License # | 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 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083758650 | NPPES |
| New York | MEDICAID | 02179711 |
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