Maritza Dominguez (NPI# 1457339202, PAC ID# 8022204346) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1457339202 |
| PAC ID by PECOS | 8022204346 |
| Professional Enrollment ID | I20101130000073 |
| Full Name | Maritza Dominguez |
| Organization Legal Name | LONG ISLAND FQHC, INC. |
| Address |
101 S Bergen Pl Freeport NY 11520-3528 |
| Phone Number | 5166233600 |
| Gender | F |
| Graduation Year | 2002 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5991970535 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 101 S Bergen Pl, Freeport, NY 11520-3528 | 5166233600 | LONG ISLAND FQHC, INC. |
| Organization Legal Name | LONG ISLAND FQHC, INC. |
| Physicians | 29 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ilya Tarascin | Family Medicine | Long Island Fqhc, Inc. | 161 Hempstead Tpke, Elmont, NY 11003-1432 |
| Linotte Jean-jeune | Internal Medicine | Long Island Fqhc, Inc. | 682 Union Ave, Westbury, NY 11590-3552 |
| Marie Celestin | Family Medicine | Long Island Fqhc, Inc. | 380 Nassau Rd, Roosevelt, NY 11575-1343 |
| Charles I Famulare | Internal Medicine | Long Island Fqhc, Inc. | 101 S Bergen Pl, Freeport, NY 11520-3528 |
| Sinem Khaylomsky | Family Medicine | Long Island Fqhc, Inc. | 101 S Bergen Pl, Freeport, NY 11520-3528 |
| Robert Gregorio Bernales | Family Medicine | Long Island Fqhc, Inc. | 135 Main St, Hempstead, NY 11550-2414 |
| Joy Ciardullo | Nurse Practitioner | Long Island Fqhc, Inc. | 101 S Bergen Pl, Freeport, NY 11520-3528 |
| Naseem A Hussaini | Internal Medicine | Long Island Fqhc, Inc. | 135 Main St, Hempstead, NY 11550-2414 |
| Karen E Staple | Nurse Practitioner | Long Island Fqhc, Inc. | 161 Hempstead Tpke, Elmont, NY 11003-1432 |
| Tami Hall | Nurse Practitioner | Long Island Fqhc, Inc. | 135 Main St, Hempstead, NY 11550-2414 |
| Street Address |
101 S BERGEN PL |
| City | FREEPORT |
| State | NY |
| Zip | 11520-3528 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles I Famulare | Internal Medicine | Long Island Fqhc, Inc. | 101 S Bergen Pl, Freeport, NY 11520-3528 |
| Sinem Khaylomsky | Family Medicine | Long Island Fqhc, Inc. | 101 S Bergen Pl, Freeport, NY 11520-3528 |
| Joy Ciardullo | Nurse Practitioner | Long Island Fqhc, Inc. | 101 S Bergen Pl, Freeport, NY 11520-3528 |
| Roseline E Carelus | Nurse Practitioner | Long Island Fqhc, Inc. | 101 S Bergen Pl, Freeport, NY 11520-3528 |
| Andrew L. Ageloff | Pediatric Medicine | Long Island Fqhc, Inc. | 101 S Bergen Pl, Freeport, NY 11520-3528 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott V Rankin | Internal Medicine | 276 Moore Ave, Freeport, NY 11520-1042 | |
| Francis P Dooley | Nurse Practitioner | Catholic Charities of The Diocese of Rockville Centre | 333 N Main St, Freeport, NY 11520-1231 |
| Bruce K Darroch | Clinical Social Worker | Catholic Charities of The Diocese of Rockville Centre | 333 N Main St, Freeport, NY 11520-1231 |
| Judith R Ehrenfeld | Certified Clinical Nurse Specialist (cns) | 42 Oakfield Ave, Freeport, NY 11520-1936 | |
| Iheanyichukwu Aja-onu | Gastroenterology | 3 N Main St, Freeport, NY 11520-2218 | |
| Sonia Jamil | Family Medicine | Jacqueline Delmont Md PC | 55 N Main St, Freeport, NY 11520-2243 |
| Ivelisse Guevara Reyes | Nurse Practitioner | Jacqueline Delmont Md PC | 55 N Main St, Freeport, NY 11520-2243 |
| Rosemary B Estrella | Nurse Practitioner | Jacqueline Delmont Md PC | 55 N Main St, Freeport, NY 11520-2243 |
| Maria Isabel Goncalves | Nurse Practitioner | Jacqueline Delmont Md PC | 55 N Main St, Freeport, NY 11520-2243 |
| Franco A Vallejo Garcia | Endocrinology | Jacqueline Delmont Md PC | 55 N Main St, Freeport, NY 11520-2243 |
| Find all physicians in zip 11520 | |||
| City | FREEPORT |
| Zip Code | 11520 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | FREEPORT + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Maritza Dominguez.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.