Most Relevant Information
Provider Data
| NPI Number: | 1003304700 |
| Provider Name: | DOMINGO VICENTE SOSA |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/27/2018 |
| Last Updated: | 04/27/2018 |
Provider Practice Location
8010 85TH AVE
WOODHAVEN
NY
114211110
Practice Location Phone/Fax
| Phone: | 3475564578 |
| Fax: |
Provider Mailing Location
8010 85TH AVE
WOODHAVEN
NY
114211110
Provider Mailing Phone/Fax
| Phone: | 3475564578 |
| Fax: |