Individual
ARIEL F DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-7600
Mailing address
332 NASSAU AVE, FREEPORT, NY 11520-6119
(516) 425-8185
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
431608
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
156669
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
431608
NP LICENSE #
NY
Enumeration date
08/23/2019
Last updated
01/22/2026
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