Individual provider · Type 1 NPI

Lenny Dominique, LPN

Licensed Practical Nurse · Bayside, NY

NPI number 1528698065 Active

Practice location

22215 Northern Blvd
Bayside, NY 11361-3678

Mailing address

1964 Nostrand Ave Apt 1E
Brooklyn, NY 11210-1504

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X336167-01 (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.

22 other providers at this address

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About NPI 1528698065

Lenny Dominique, LPN's National Provider Identifier is 1528698065, issued on Jan 23, 2020. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Bayside, NY. The record was last updated on Sep 29, 2026.