National Provider Identifier

Dominique Williams

Dominique Williams is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 360-5488.

NPI 1487482592Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1487482592
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
July 22, 2024
Last Updated
July 22, 2024

Practice Location

  • 873 Woodbine Ave
  • Rochester, NY 14619-2340

Phone: (585) 360-5488

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1487482592
Entity Type
Individual
Last Name
Williams
First Name
Dominique
Mailing Street Address
873 Woodbine Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14619-2340
Mailing Country
US
Practice Street Address
873 Woodbine Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14619-2340
Practice Country
US
Practice Phone
(585) 360-5488
Enumeration Date
July 22, 2024
Last Updated
July 22, 2024
Sex
Female
Sole Proprietor
Yes
Certification Date
July 22, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)