Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ILLY DOMINITZ, M.D.
ActiveDR. ILLY DOMINITZ, M.D. is a Preventive Medicine healthcare provider located in NORFOLK, Virginia. NPI 1649317553 is currently active in the NPPES registry. Verify at CMS.
Preventive Medicine · NORFOLK, VA
Registration Details
- NPI Number
- 1649317553
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 31, 2007 (19.554608764863 yrs)
- Last Updated
- Jul 8, 2007
- License
-
0101228195 (VA)
Practice Information
- Address
-
1468 INGRAM STNORFOLK, VA, 235512596Browse VA providers · Browse ZIP 23551
- Phone
- 7578361685
- Fax
- 7578361528
- Primary Specialty
-
Preventive Medicine
2083P0500X
Other Preventive Medicine Providers in NORFOLK, VA
| Name | Credential | NPI |
|---|---|---|
| DR. JAMES REEDIE PATE | M.D. | 1245291517 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.