Yesli Sarai Dominguez

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

34716-01 Issued in NY

Practice address

120 Deer Park Ave
Babylon, NY 11702-2831

Phone

(888) 722-2072

NPI assigned

Feb 19, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1275398232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 DELAWARE AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117063342",
            "telephone_number": "631-974-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 DEER PARK AVE",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117022831",
            "telephone_number": "888-722-2072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "YESLI",
        "middle_name": "SARAI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "34716-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Discalfani, PH.D., BCBA-D
• Addie Dissick, M.D.
• DNT Drugs LLC
• Omar Domenech
• Marc Domingo, PTA
• Carly Michelle Donohue, PA-C
• Elizabeth Donovan, LPN
• Keith T Downing, M.D.
• Dr Bruce a Zappia DPM
• Dr Douglas a Keller DMD PC

• Licensed Practical Nurse in Babylon, NY
• Providers in Babylon, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.