Petrie, Dominique Leigh

Petrie, Dominique Leigh is an individual health care provider with primary practice located at 1732 Alexis Rd , Merrick NY 11566-4821. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Petrie, Dominique Leigh can be contacted via phone (516) 606-0697.

Contact Information

Primary practice address
1732 Alexis Rd Merrick NY 11566-4821
Phone: (516) 606-0697
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1205251014
LBN Legal business name Petrie, Dominique Leigh
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2014
Last updated Mar 3rd, 2014 - about 10 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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