Individual provider · Type 1 NPI

Marie-Ange Dominique, LPN

Licensed Practical Nurse · Mastic, NY

NPI number 1154798536 Active

Practice location

60 Hampton Ave
Mastic, NY 11950-3824

Call (347) 617-8142 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X322101-1 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1154798536

Marie-Ange Dominique, LPN's National Provider Identifier is 1154798536, issued on Sep 1, 2015. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Mastic, NY. The record was last updated on May 26, 2025.