Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marc Domingo, PTA

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1790473940

Marc Domingo, PTA is a Physical Medicine & Rehabilitation Physician in Babylon, New York. Licensed in New York. Registered with an NPI since 2023.

Licensed in
NY
In the registry since
2023
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

1026 Little East Neck Rd
Babylon, NY 11704-2411
Phone: (631) 560-4548
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 013504 (NY)

Record details

NPI number1790473940
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedApril 26, 2023
Last updated in NPPESApril 26, 2023
Certification dateApril 26, 2023
Mailing address1026 Little East Neck Rd, Babylon, NY 11704-2411

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