Active NPIIndividual providerSole proprietor

Graceann Dominguez

Registered Nurse in Valley Cottage, New York

NPI Number1619453792
Practice location
706 Executive Blvd, Valley Cottage, NY 10989-2038
Fax
—
Last updated
July 12, 2018

Graceann Dominguez is a Registered Nurse based in Valley Cottage, NY. Graceann Dominguez practices in Valley Cottage, NY. The NPI Number for Graceann Dominguez is 1619453792 and holds a License No. 667088 (NY). The current practice location address for Graceann Dominguez is 706 Executive Blvd, Valley Cottage, NY 10989-2038 and can be reached out via phone at 845-362-3904.

Provider Profile Details

NPI Number
1619453792
Provider Name
Graceann Dominguez
Provider Entity Type
Individual
Gender
Female
Address
706 Executive Blvd, Valley Cottage, NY 10989-2038
Phone Number
845-362-3904
Primary Taxonomy
Registered Nurse · 163W00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 12, 2018
Last Update Date
July 12, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
706 Executive Blvd
Valley Cottage, NY 10989-2038
Zip
10989-2038
Phone Number
845-362-3904
Valley Cottage, NY 10989Get directions →

Provider Business Mailing Address Details

Address
706 Executive Blvd Ste D
Valley Cottage, NY 10989-2039
City
Valley Cottage
State
NY
Zip
10989-2039
Phone Number
845-362-3904

License Information

License Number
667088
License State
NY
Taxonomy
Registered Nurse · 163W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Graceann Dominguez?

The NPI number of Graceann Dominguez is 1619453792. It was assigned on July 12, 2018 and is currently active in the NPPES registry.

What is the specialty of Graceann Dominguez?

Graceann Dominguez is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in NY under license number 667088.

Where does Graceann Dominguez practice?

The practice location is 706 Executive Blvd, Valley Cottage, NY 10989-2038. The office can be reached at 845-362-3904 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619453792 directly on the NPPES registry website.

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