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NPI Code Detail

MEDICARE: DOMINIQUE ROWE

MEDICARE: DOMINIQUE ROWE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1255802773
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOMINIQUE ROWE
Provider Business Mailing Address
First Line : 160 E 56TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10022-3609
Country : US
Telephone Number : 212-235-5782
Fax Number :
Provider Business Practice Location Address
First Line : 3202 BAINBRIDGE AVE
Second Line :
City : BRONX
State : NY
Zip : 10467-3947
Country : US
Telephone Number : 718-881-9525
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2018
Last Update Date : 12/10/2018

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Directions to “ DOMINIQUE ROWE ” Practice Location

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