| Doctor Name: | MRS. MARLO KAREN DOMBROFF |
| NPI Number: | 1013174861 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA |
| License Number: | 008299-1 |
| Business Practice Address: | University Associates In Ob Gyn Ufpc Stony Brook Cancer Center Stony Brook, NY - 117948091 |
| Business Phone Number: | 6314447464 |
| Business Fax Number: | 6314442743 |
| Mailing Address: | University Associates In Ob Gyn Ufpc, Stony Brook Cancer Center STONY BROOK |
| State: | NY |
| Postal Code: | 117948091 |
| Phone Number: | 6314447464 |
| Fax Number: | 6314442743 |
| NPI Enumeration Date: | 05/20/2008 |
| NPI Last Update Date: | 05/12/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 008299-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |