Dominique Footman
Dominique Footman is a Student in an Organized Health Care Education/Training Program in Bay Shore, New York. Licensed in New York. Registered with an NPI since 2024.
- Licensed in
- NY
- In the registry since
- 2024
Practice location Address checks out
1444 5th AveBay Shore, NY 11706-4147
Phone: (631) 647-3100
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (NY) |
|---|
Record details
| NPI number | 1497577662 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 29, 2024 |
| Last updated in NPPES | October 29, 2024 |
| Certification date | October 29, 2024 |
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Kerri-Lynn Michelle Dunne
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Elizabeth Ann Fortunato
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