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DOMINIQUE FOOTMAN
NPI 1497577662
Student in an Organized Health Care Education/Training Program in Bay Shore, NY

Active since October 29, 2024
1444 5TH AVE, BAY SHORE, NY 11706(631) 647-3100 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dominique Footman NPPES

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

DOMINIQUE FOOTMAN (NPI 1497577662) is an individual student in an organized health care education/training program in Bay Shore, New York and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1497577662
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDOMINIQUE FOOTMAN
Location Address1444 5TH AVEBay Shore, NY 11706-4147
Mailing Address790 Park AveHuntington, NY 11743-4516 · (631) 427-3700
Phone(631) 647-3100
Sole ProprietorNo
Enumeration DateOctober 29, 2024
NPPES CertifiedOctober 29, 2024
✔ NPI 1497577662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1444 5TH AVE, Bay Shore, NY 11706
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEAGHAN GOULD LMSW
Social Worker (Clinical)
1444 5TH AVE
BAY SHORE, NY 11706
Suffolk County (631) 844-5903
MR. ELISHA TRICOCHE LMSW
Social Worker
1444 5TH AVE
BAY SHORE, NY 11706
Suffolk County (631) 647-3100
JESSIE CAGGIANO
Social Worker
1444 5TH AVE
BAY SHORE, NY 11706
Suffolk County (631) 647-3100
JASMIN DENGELES LMSW
Counselor (Addiction (Substance Use Disorder))
1444 5TH AVE
BAY SHORE, NY 11706
Suffolk County (631) 647-3100
MEAGHAN OBERGH
Social Worker
1444 5TH AVE
BAY SHORE, NY 11706
Suffolk County (631) 647-3100
MR. EUGENE W BROOKS LCSW
Social Worker
1444 5TH AVE, FAMILY SERVICE LEAGUE
BAYSHORE, NY 11706
Suffolk County (631) 647-3100
MEGAN ALLISON PANICCIA LCSW
Social Worker
1444 5TH AVE
BAY SHORE, NY 11706
Suffolk County (631) 647-3100
MISS TASHI SELF LCSW
Social Worker (Clinical)
1444 5TH AVE
BAY SHORE, NY 11706
Suffolk County (631) 647-2048

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 Dominique Footman's NPI number?

The NPI number for Dominique Footman is 1497577662. It was assigned to this individual provider in the NPPES registry on October 29, 2024.

Where is Dominique Footman located?

Dominique Footman practices at 1444 5th Ave, Bay Shore, NY 11706. The listed phone number is (631) 647-3100.

What is Dominique Footman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Dominique Footman was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.