Individual provider · Type 1 NPI
Maritza Dominguez, ANP
Adult Health Nurse Practitioner · Freeport, NY
NPI number
1457339202
Active
Practice location
101 S Bergen Place
Freeport, NY 11520
Fax (516) 623-9191
Mailing address
380 Nassau Rd, Long Island Fqhc, Inc.
Roosevelt, NY 11575-1343
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | F303551 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1457339202
Maritza Dominguez, ANP's National Provider Identifier is 1457339202, issued on Jan 3, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Freeport, NY. The record was last updated on Apr 20, 2015.