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Juan Dominguez

NPI 1619835642 · on the registry since 2026 · sole proprietor

Practice

Address
24 Berkley Rd
Mineola, NY 11501
Phone
(516) 274-0606

Registry record

Primary taxonomy
171W00000X
171W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-01-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York