Mrs. Tyesha Dominique
Mrs. Tyesha Dominique is a Physician Assistant in New York, New York. Licensed in New York. Registered with an NPI since 2008.
- Licensed in
- NY
- In the registry since
- 2008
Practice location Address checks out
312 E 94th StNew York, NY 10128-5604
Phone: (212) 423-3000
Fax: (212) 423-2920
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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 012331 (NY) |
|---|
Record details
| NPI number | 1376714139 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 19, 2008 |
| Last updated in NPPES | March 19, 2008 |
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