Dominic, Deborah

Dominic, Deborah is an individual health care provider with primary practice located at 314 S Manning Blvd , Albany NY 12208-1708. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Dominic, Deborah can be contacted via phone (518) 453-2273.

Contact Information

Primary practice address
314 S Manning Blvd Albany NY 12208-1708
Phone: (518) 453-2273
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 005867 New York

Profile Details

NPI number 1689630956
LBN Legal business name Dominic, Deborah
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689630956 NPPES
New York MEDICAID 005867
New York Other 000410282001

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