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

Mr. Juan C Dominguez

Individual provider Contractor · NPI 1619835642

Mr. Juan C Dominguez is a Contractor in Mineola, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2026

Practice location Address checks out

24 Berkley Rd
Mineola, NY 11501-4604
Phone: (516) 274-0606
Show map & directions

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

Specialties & licences

Contractor (primary) Taxonomy 171W00000X · Licence 204552 (NY)

Record details

NPI number1619835642
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 9, 2026
Last updated in NPPESJanuary 9, 2026
Certification dateJanuary 9, 2026
Mailing address24 Berkley Rd, Mineola, NY 11501-4604

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