Individual
DOMINIQUE ELIANA AGUILAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
501 SEAVIEW AVE STE 104, STATEN ISLAND, NY 10305-3400
(718) 226-5700
Mailing address
99 OLD AMBOY RD APT 205, OLD BRIDGE, NJ 08857-3478
(917) 355-7169
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
353624
NY
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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