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Individual

DOMINIQUE LANIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
255 EXECUTIVE DR STE LL105, PLAINVIEW, NY 11803-1718
(516) 576-2040
Mailing address
255 EXECUTIVE DR STE LL105, PLAINVIEW, NY 11803-1718
(516) 576-2040

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
K90405263
NY
Enumeration date
07/06/2022
Last updated
07/06/2022
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