| Provider / Organization | NPI | Date Certified |
|---|---|---|
| YAXIRY VERONICA NIEVES DOMINGUEZ | 1881242311 | 2019-08-28 |
Yaxiry Veronica Nieves Dominguez is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1881242311. Registration indicates Yaxiry Veronica Nieves Dominguez is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) (Speech, Language and Hearing Service Providers, Speech-Language Pathologist) (Speech-Language Pathologist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Speech-Language Pathologist, Speech, Language and Hearing Service Providers)
| Entity Type | Individual |
| Provider Name | Yaxiry Veronica Nieves Dominguez |
| Practice Office Address | 1925 BATHGATE AVE BRONX, NY US |
| Practice Office Telephone | 7184689000 |
| Mailing Address | 2853 BAINBRIDGE AVE FL 1 BRONX, NY 104582801 US |
| Business Telephone | 3476172139 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 91-10 146th Street | Jamaica, NY 11435 | 7184689000 |
| 509 E 165th St | Bronx, NY 104566637 | 7184689000 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | |
| 235Z00000X PRIMARY | Speech, Language and Hearing Service Providers Speech-Language Pathologist Speech-Language Pathologist Speech/Occupational/Physical Therapy/Chiropractor Speech-Language Pathologist Speech, Language and Hearing Service Providers |