Individual
DOMINIQUE VALENTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11477 224TH ST, CAMBRIA HEIGHTS, NY 11411-1225
(516) 640-7874
Mailing address
11477 224TH ST, CAMBRIA HEIGHTS, NY 11411-1225
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
305628
NY
Other
Enumeration date
06/22/2011
Last updated
06/22/2011
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