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

Jacqueline Dominguez

Individual provider Local Education Agency (LEA) · NPI 1487329819

Jacqueline Dominguez is a Local Education Agency (LEA) in Queens Village, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2021

Practice location Address checks out

21610 Hollis Ave
Queens Village, NY 11429-1949
Phone: (718) 593-2596
Show map & directions

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

Specialties & licences

Local Education Agency (LEA) (primary) Taxonomy 251300000X · Licence 3562243 (NY)

Record details

NPI number1487329819
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 9, 2021
Last updated in NPPESAugust 9, 2021
Certification dateAugust 9, 2021