Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dominique Champion

Individual provider Licensed Practical Nurse · NPI 1790321180

Dominique Champion is a Licensed Practical Nurse in Farmingdale, New York. Licensed in New York. Registered with an NPI since 2019.

Licensed in
NY
In the registry since
2019

Practice location Address checks out

81 Lincoln Ave
Farmingdale, NY 11735-6843
Phone: (631) 882-5793
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 330577-1 (NY)

Record details

NPI number1790321180
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 21, 2019
Last updated in NPPESNovember 21, 2019
Mailing address81 Lincoln Ave, Farmingdale, NY 11735-6843

Other providers in Farmingdale