Dominique, Jean C
Dominique, Jean C is an sole proprietor health care provider with primary practice located at 160 Lenox Rd , North Baldwin NY 11510-1016. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Dominique, Jean C can be contacted via phone (516) 377-6249.Contact Information
Primary practice address
160 Lenox Rd
North Baldwin NY 11510-1016
Phone: (516) 377-6249
Fax: (718) 221-7240
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 071318-1 | New York |
Profile Details
| NPI number | 1477702850 |
|---|---|
| LBN Legal business name | Dominique, Jean C |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 10th, 2008 |
| Last updated | Oct 22nd, 2008 - about 16 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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