Nguyen, Dominique

Nguyen, Dominique is an individual health care provider with primary practice located at 1140 Willis Ave , Albertson NY 11507-1229. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Nguyen, Dominique can be contacted via phone (516) 621-2466.

Contact Information

Primary practice address
1140 Willis Ave Albertson NY 11507-1229
Phone: (516) 621-2466
Fax: (516) 621-5677
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 046541 New York

Profile Details

NPI number 1295916294
LBN Legal business name Nguyen, Dominique
Credentials BS PHARMACY
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2007
Last updated Nov 18th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1295916294 NPPES
New York MEDICAID 01017550

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