DOMINIQUE EBONIECE MARTINEZ

GLENDALE, NY
NPI1225713829
Former NameDOMINIQUE E MCLAUGHLIN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  355973)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: CA  NP95026260)
363LF0000X Nurse Practitioner, Family
(Licence: CA  2023006023)
Enumeration Date2023-06-20
Last Update Date2026-03-04
Business Address
DOMINIQUE EBONIECE MARTINEZ FNP-BC
6414 MYRTLE AVE
GLENDALE, NY 11385-6203
Phone number: 718-805-0037
Mailing Address
DOMINIQUE EBONIECE MARTINEZ FNP-BC
PO BOX 211226
WOODHAVEN, NY 11421-6226
Phone number: 917-932-7378