Illy Dominitz in Norfolk - Preventive Medicine/occupational Environmental Medicine
Illy Dominitz - NPI 1649317553
Illy Dominitz is a Preventive Medicine/occupational Environmental Medicine in Norfolk, Virginia. Illy Dominitz practices all healthcare services and medical treatments related to Preventive Medicine/occupational Environmental Medicine. The NPI Number for Illy Dominitz is 1649317553. The last update date is 2007-07-08.
Illy Dominitz's current location address is 1468 Ingram St, Norfolk, Virginia. You can contact this provider via phone number 7578361685 and fax number 7578361528. The mailing address for Illy Dominitz is 1468 Ingram St, Norfolk, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Illy Dominitz |
|---|---|
| Address | 1468 Ingram St, Norfolk, Virginia |
| Phone Number | 7578361685 |
| Fax Number | 7578361528 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1649317553 |
|---|---|
| Provider Enumeration Date | 2007-01-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1468 Ingram St |
|---|---|
| City | Norfolk |
| State | Virginia (VA) |
| Post Code | 235512596 |
| Phone Number | 7578361685 |
| Fax Number | 7578361528 |
Provider's Primary Taxonomy Detail
| Speciality | Preventive Medicine/occupational Environmental Medicine |
|---|---|
| Taxonomy | 2083P0500X |
| Licence No | 101228195 |
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Definition: A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
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What is the Illy Dominitz's unique identification number?
The Illy Dominitz has been assigned the NPI (National Provider Identifier) Number 1649317553 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Illy Dominitz located?
The Illy Dominitz is located at 1468 Ingram St, Norfolk, VA 235512596.
What is Illy Dominitz's specialized field of practice, and what is the corresponding taxonomy classification code?
The Illy Dominitz's area of specialization is Preventive Medicine/occupational Environmental Medicine, and the corresponding taxonomy code that categorizes this field of practice is 2083P0500X.
When was the Illy Dominitz's 1649317553 issued?
The Illy Dominitz's 1649317553 was issued on 2007-01-31.
As of what date were the details pertaining to Illy Dominitz last refreshed?
The information related to the Illy Dominitz, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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