Domingo A Rivera-Lake, PA
Domingo A Rivera-Lake, PA is a Physician Assistant in Bronx, New York. Licensed in New York. Registered with an NPI since 2007.
- Licensed in
- NY
- In the registry since
- 2007
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
111 E 210th St Mmc - Dept OF RadiologyBronx, NY 10467-2401
Phone: (866) 662-9729
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 009922 (NY) |
|---|
Record details
| NPI number | 1225165319 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | February 27, 2007 |
| Last updated in NPPES | July 8, 2007 |
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