Individual
MRS. WHALYNN DOMINIQUE-SANON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 PENN PLZ FL 8, NEW YORK, NY 10119-0899
(203) 554-7786
Mailing address
19143 115TH DR, SAINT ALBANS, NY 11412-2703
(347) 869-4909
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
342213
NY
363LA2200X
Adult Health Nurse Practitioner
342213
NY
363LF0000X
Family Nurse Practitioner
342213
NY
363LG0600X
Gerontology Nurse Practitioner
342213
NY
363LP0200X
Pediatric Nurse Practitioner
342213
NY
363LP2300X
Primary Care Nurse Practitioner
Primary
342213
NY
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
342213
NY
Other
Enumeration date
11/27/2017
Last updated
03/15/2018
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