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Vanessa Dominique
Family Nurse Practitioner in Patchogue, New York
NPI 1184498917

Vanessa Dominique is a Family Nurse Practitioner based in Deer Park, NY and is specialized in Family. Vanessa Dominique practices in Patchogue, NY. The NPI Number for Vanessa Dominique is 1184498917 and holds a License No. 2023000070 (New York).

The current practice location address for Vanessa Dominique is 152 North Ocean Avenue, Patchogue, NY and can be reached out via phone at 631-730-1189.

Location: 152 North Ocean Avenue, Patchogue, NY, 11729-6709
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184498917
Provider Name
Vanessa Dominique
Credential
Provider Entity Type
Individual
Gender
Female
Address
152 North Ocean Avenue, Patchogue, NY, 11729-6709
Phone Number
631-730-1189
Fax Number
Provider Enumeration Date
11/13/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
152 North Ocean Avenue
City
Patchogue
State
New York
Zip
11772
Phone Number
631-730-1189
Fax Number
person
Provider Business Mailing Address Details
Address
152 North Ocean Avenue
City
Patchogue
State
New York
Zip
11772
Phone Number
631-730-1189
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
2023000070 (New York)
Definition
Definition to come...
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