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

Mr. Christopher James Dominique, RPA-C

Individual provider Surgical Physician Assistant · NPI 1104083682

Mr. Christopher James Dominique, RPA-C is a Surgical Physician Assistant in N Massapequa, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008

Practice location Address checks out

15 Marlboro Ave
N Massapequa, NY 11758-2429
Phone: (516) 557-3254
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 012547-1 (NY)

Record details

NPI number1104083682
Entity typeIndividual (Type 1)
GenderMale
Credentials RPA-C
Sole proprietorNo
NPI enumeratedMay 21, 2008
Last updated in NPPESMay 21, 2008