Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kristen Domingo

Individual provider Specialist · NPI 1417480591

Kristen Domingo is a Specialist in Oakdale, New York. Practices as a sole proprietor. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

228 Matthews Rd
Oakdale, NY 11769-1845
Phone: (917) 886-1505
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1417480591
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 6, 2017
Last updated in NPPESApril 6, 2017

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