Individual
DOMINIQUE GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3007 36TH AVE STE A, ASTORIA, NY 11106-2314
(917) 310-3371
(516) 938-1554
Mailing address
135 MINEOLA BLVD FL 2, MINEOLA, NY 11501-3917
(917) 310-3371
(516) 938-1554
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
032438
NY
Other
Enumeration date
07/19/2024
Last updated
12/12/2025
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