Lanier, Dominique
Lanier, Dominique is an sole proprietor health care provider with primary practice located at 255 Executive Dr Ste Ll105 , Plainview NY 11803-1718. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Lanier, Dominique can be contacted via phone (516) 576-2040.Contact Information
Primary practice address
255 Executive Dr Ste Ll105
Plainview NY 11803-1718
Phone: (516) 576-2040
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | New York |
Profile Details
| NPI number | 1629701743 |
|---|---|
| LBN Legal business name | Lanier, Dominique |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 6th, 2022 |
| Last updated | Jul 6th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629701743 | NPPES |
| New York | MEDICAID | K90405263 |
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