Active NPIIndividual provider

Mr. Jury Dominise, PHYSICAL THERAPIST

Physical Therapist in Brooklyn, New York

NPI Number1265675623
Practice location
8845 19TH Ave, Brooklyn, NY 11214-6008
Fax
—
Last updated
May 25, 2012

Jury Dominise is a Physical Therapist based in Brooklyn, NY. Jury Dominise practices in Brooklyn, NY and has the professional credentials of PHYSICAL THERAPIST. The NPI Number for Jury Dominise is 1265675623 and holds a License No. 030631 (NY). The current practice location address for Jury Dominise is 8845 19TH Ave, Brooklyn, NY 11214-6008 and can be reached out via phone at 908-285-8620.

Provider Profile Details

NPI Number
1265675623
Provider Name
Jury Dominise
Credential
PHYSICAL THERAPIST
Provider Entity Type
Individual
Gender
Male
Address
8845 19TH Ave, Brooklyn, NY 11214-6008
Phone Number
908-285-8620
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
April 15, 2009
Last Update Date
May 25, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
8845 19TH Ave
Brooklyn, NY 11214-6008
Zip
11214-6008
Phone Number
908-285-8620
Brooklyn, NY 11214Get directions →

Provider Business Mailing Address Details

Address
37 1ST Ave
Apt C
Raritan, NJ 08869-1722
City
Raritan
State
NJ
Zip
08869-1722
Phone Number
908-285-8620

License Information

License Number
030631
License State
NY
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Jury Dominise, PHYSICAL THERAPIST?

The NPI number of Mr. Jury Dominise, PHYSICAL THERAPIST is 1265675623. It was assigned on April 15, 2009 and is currently active in the NPPES registry.

What is the specialty of Mr. Jury Dominise, PHYSICAL THERAPIST?

Mr. Jury Dominise, PHYSICAL THERAPIST is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NY under license number 030631.

Where does Mr. Jury Dominise, PHYSICAL THERAPIST practice?

The practice location is 8845 19TH Ave, Brooklyn, NY 11214-6008. The office can be reached at 908-285-8620 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265675623 directly on the NPPES registry website.

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