| Juan Carlos Dominguez, FNP | |
|
9033 Elmhurst Ave, Jackson Heights, NY 11372-7935 | |
| (718) 457-7000 | |
| Not Available |
| Full Name | Juan Carlos Dominguez |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 9033 Elmhurst Ave, Jackson Heights, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225887524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 354416 (New York) | Primary |
| 163WG0000X | Registered Nurse - General Practice | 809914 (New York) | Secondary |
| Entity Name | Queens Medical Office, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922017789 PECOS PAC ID: 8224033535 Enrollment ID: O20060920000215 |
| Mailing Address | Practice Location Address |
|---|---|
| Juan Carlos Dominguez, FNP 2770 Ocean Ave Apt 3h, Brooklyn, NY 11229-4728 Ph: (917) 600-2816 | Juan Carlos Dominguez, FNP 9033 Elmhurst Ave, Jackson Heights, NY 11372-7935 Ph: (718) 457-7000 |
Ms. Shan Shan Chen, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7005 35th Ave, Jackson Heights, NY 11372 Phone: 718-662-5100 | |
Ms. Anjali Patel, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 34-29 83rd Street, Jackson Heights, NY 11372 Phone: 718-424-7800 Fax: 718-424-0888 | |
Marie E Cahill, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3304 93rd St, #1w, Jackson Heights, NY 11372 Phone: 718-335-4747 Fax: 718-476-2626 | |
Mr. James H Flesher, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3728 77th St, Jackson Heights, NY 11372 Phone: 718-335-7378 Fax: 718-335-1071 | |
Ms. Joanne Pierre, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3334 80th St, Jackson Heights, NY 11372 Phone: 718-335-3823 Fax: 718-335-5136 | |
Allison Brown, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3540 82nd St, Jackson Heights, NY 11372 Phone: 718-507-5800 | |
Tenzin Khandoe, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7209 Northern Blvd, Jackson Heights, NY 11372 Phone: 718-533-8434 |