Dominguez, Juan Carlos

Dominguez, Juan Carlos is an individual health care provider with primary practice located at 9033 Elmhurst Ave , Jackson Heights NY 11372-7935. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / General Practice. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Dominguez, Juan Carlos can be contacted via phone (718) 457-7000.

Contact Information

Primary practice address
9033 Elmhurst Ave Jackson Heights NY 11372-7935
Phone: (718) 457-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 354416 New York
Nursing Service Providers / General Practice 163WG0000X 809914 New York

Profile Details

NPI number 1225887524
LBN Legal business name Dominguez, Juan Carlos
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2024
Last updated Jun 4th, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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