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VANESSA DOMINIQUE
NPI 1184498917
Nurse Practitioner - Family in Patchogue, NY

Active since November 13, 2023
152 NORTH OCEAN AVENUE, PATCHOGUE, NY 11772(631) 730-1189 Get Directions Write a Review

NPPES record last updated: November 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vanessa Dominique NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VANESSA DOMINIQUE (NPI 1184498917) is an individual family provider in Patchogue, New York, licensed in New York (2023000070) and active in the NPI registry since November 2023. She maintains a secondary practice location in Stony Brook.

NPPES Registry Identity

NPI1184498917
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameVANESSA DOMINIQUE
Location Address152 NORTH OCEAN AVENUEPatchogue, NY 11772
Mailing Address73 Suburban AveDeer Park, NY 11729-6709 · (631) 745-2508
Phone(631) 730-1189
Sole ProprietorNo
Enumeration DateNovember 13, 2023
NPPES CertifiedNovember 11, 2023
✔ NPI 1184498917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 2023000070
152 NORTH OCEAN AVENUE, Patchogue, NY 11772
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Secondary Practice Location 1

Location 12500 Nesconset HwyStony Brook, NY 11790-2555 · Phone (631) 751-5550

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vanessa Dominique's NPI number?

The NPI number for Vanessa Dominique is 1184498917. It was assigned to this individual provider in the NPPES registry on November 13, 2023.

Where is Vanessa Dominique located?

Vanessa Dominique practices at 152 North Ocean Avenue, Patchogue, NY 11772. The listed phone number is (631) 730-1189.

What is Vanessa Dominique's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Vanessa Dominique was last updated on November 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.