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

Mr. Bognay Dury Domanas, LICENSEDPT

Individual provider Physical Therapist · NPI 1912954140

Mr. Bognay Dury Domanas, LICENSEDPT is a Physical Therapist in Private Practice in Elmhurst, New York. Qualified in 1999, 27 years ago. Licensed in New York.

Years since qualifying
27
Licensed in
NY
In the registry since
2006
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Practice location Address checks out

4012 80th St
Elmhurst, NY 11373-1234
Phone: (718) 426-9595
Fax: (718) 426-2729
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 025921-1 (NY)

Record details

NPI number1912954140
Entity typeIndividual (Type 1)
GenderMale
Credentials LICENSEDPT
Sole proprietorNo
NPI enumeratedMay 31, 2006
Last updated in NPPESJanuary 22, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Accepts Medicare assignment Not indicated

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