Doctor profile · Federal record
Dr. Tyesha Dominique
Physician Assistant · New York, NY
- NPI 1376714139
- 18 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
312 E 94Th St
New York, NY 101285604
(212) 423-3000
fax (212) 423-2920
Credentials & registration
- NPI registered
- March 2008 — 18 yrs on file
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- New York #012331
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1376714139. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$56
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Philips North America LLC | 2 | $56.48 |
By nature of payment
Frequently asked questions
What is Dr. Tyesha Dominique's medical specialty?
Dr. Tyesha Dominique practices Physician Assistant in New York, NY.
Where does Dr. Tyesha Dominique practice?
Dr. Tyesha Dominique practices at 312 E 94Th St, New York, NY 101285604. Office phone: 2124233000.
What is Dr. Tyesha Dominique's NPI?
Dr. Tyesha Dominique's National Provider Identifier (NPI) is 1376714139, issued by NPPES.