Individual
DOMINIQUE CASSANDRA DARGUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21415 113TH AVE, QUEENS VILLAGE, NY 11429-2321
(347) 985-6862
Mailing address
21415 113TH AVE, QUEENS VILLAGE, NY 11429-2321
(347) 985-6862
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
2917721
NY
363LF0000X
Family Nurse Practitioner
Primary
34679901
NY
Other
Enumeration date
02/09/2010
Last updated
02/01/2021
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