Marie-Ange Dominique, LPN
Licensed Practical Nurse in Mastic, NY. Individual provider (NPI-1).
NPI number1154798536
StatusActive
Last updated in NPPESMay 26, 2025
Details
- NPI
- 1154798536
- Entity type
- Individual (NPI-1)
- Name
- Marie-Ange Dominique
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 1, 2015
- Certification date
- May 20, 2025
- Last updated
- May 26, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 322101-1 | NY | Yes |
Practice location
60 Hampton AveMastic, NY 11950-3824
Phone 347-617-8142
Mailing address
60 Hampton AveMastic, NY 11950-3824
Phone 347-617-8142
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All 60 Licensed Practical Nurse providers in Mastic · All 233 providers in Mastic
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