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Ms. Maritza Dominguez, ANP
Adult Health Nurse Practitioner in Freeport, New York
NPI 1457339202

Maritza Dominguez is an Adult Health Nurse Practitioner based in Roosevelt, NY and is specialized in Adult Health. Maritza Dominguez practices in Freeport, NY and has the professional credentials of ANP. The NPI Number for Maritza Dominguez is 1457339202 and holds a License No. F303551 (New York).

The current practice location address for Maritza Dominguez is 101 S Bergen Place, Freeport, NY and can be reached out via phone at 516-623-3600 and via fax at 516-623-9191.

Location: 101 S Bergen Place, Freeport, NY, 11575-1343
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Provider Profile Details
NPI Number
1457339202
Provider Name
Maritza Dominguez
Credential
ANP
Provider Entity Type
Individual
Gender
Female
Address
101 S Bergen Place, Freeport, NY, 11575-1343
Phone Number
516-623-3600
Fax Number
516-623-9191
Provider Enumeration Date
01/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02481836 05 NY
institution
Provider Business Practice Location Address Details
Address
101 S Bergen Place
City
State
Zip
11520
Phone Number
516-623-3600
Fax Number
516-623-9191
person
Provider Business Mailing Address Details
Address
101 S Bergen Place
City
State
Zip
11520
Phone Number
516-623-3600
Fax Number
516-623-9191
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
F303551 (New York)
Definition
Definition to come...
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