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Yuri L Dominguez

  • Male

Medical Specialty

Professional ID

  • NPI: 1528027000
  • PECOS ID: 7810884137
  • Enrollment ID: I20040302000552
  • Credential(MD, DO, DPM): CNA
  • Medical School:
  • Medical School Graduation Year: 1994

Hospital Service

  • Hospital CCN1: 070021
  • Business Name (LBN)1: Windham Comm Mem Hosp Hatch Hosp
  • Hospital CCN2: 070027
  • Business Name (LBN)2: Manchester Memorial Hospital
  • Hospital CCN3: 070012
  • Business Name (LBN)3: Rockville General Hospital

Medical Practices

  • Organization Name: Anesthesia Associates Of Willimantic Pc
  • Group Practice ID assigned by PECOS: 2163506353
  • Number of Group Practice member: 54

Location

  • Address1: 37 Kennedy Dr C
  • Address2:
  • City: Putnam
  • State: Connecticut
  • Zip Code: 06260
  • Phone Number: (860)423-7558

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR):