Dominique St Louis Corp

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

818618 Issued in NY

Legal business name

DOMINIQUE ST LOUIS CORP

Practice address

905 Uniondale Ave
Uniondale, NY 11553-3235

Phone

(516) 770-7162

NPI assigned

Sep 29, 2016

Organization subpart

No

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

Authorized official

Name

Dominique St Louis, MS. SPED

Title

Special Education Teacher

Phone

(516) 770-7162

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475107200000",
    "number": "1922557099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 UNIONDALE AVE",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115533235",
            "telephone_number": "516-770-7162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 UNIONDALE AVE",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115533235",
            "telephone_number": "516-770-7162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINIQUE ST LOUIS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-29",
        "last_updated": "2016-09-29",
        "status": "A",
        "authorized_official_last_name": "ST LOUIS",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_title_or_position": "SPECIAL EDUCATION TEACHER",
        "authorized_official_telephone_number": "516-770-7162",
        "authorized_official_credential": "MS. SPED"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "818618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.