Doctor Name: | MISS EVELYN AGLIAM DOMINGO |
NPI Number: | 1548529100 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | 285792-1 |
Business Practice Address: | Ps 224@26-rm.333-195-02-69th Ave. Fresh Meadows Queens, NY - 11365 |
Business Phone Number: | 7184644396 |
Business Fax Number: | 4182641077 |
Mailing Address: | Ps 224@26-rm333-195-02-69th Ave., Fresh Meadows QUEENS |
State: | NY |
Postal Code: | 11365 |
Phone Number: | 7184644396 |
Fax Number: | 7182641077 |
NPI Enumeration Date: | 05/16/2012 |
NPI Last Update Date: | 05/16/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163W00000X |
License Number: | 285792-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N. |