Dominiak, Michael

Dominiak, Michael is an sole proprietor health care provider with primary practice located at 232 W Old Country Rd , Hicksville NY 11801-4011. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Dominiak, Michael can be contacted via phone (917) 310-3371.

Contact Information

Primary practice address
232 W Old Country Rd Hicksville NY 11801-4011
Phone: (917) 310-3371
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1538811708
LBN Legal business name Dominiak, Michael
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2022
Last updated Jan 19th, 2022 - about 3 years 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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