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MR. BOGNAY DURY DOMANAS, LICENSED PT

Active

Physical Therapy Assistant · ELMHURST, NY

Registration Details

NPI Number
1912954140
Provider Type
Individual
Gender
Male
NPI Issued
May 31, 2006 (19.889685836236 yrs)
Last Updated
Jan 22, 2015
License
025921-1 (NY)

Practice Information

Address
4012 80TH ST
ELMHURST, NY, 113731234
Browse NY providers · Browse ZIP 11373
Phone
7184269595
Fax
7184262729
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in ELMHURST, NY

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.