MEDICARE: DOMONIQUE CHIFFON GOVAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator		NY

General Provider Information

NPI Number	:	1679438469
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOMONIQUE CHIFFON GOVAN

Provider Business Mailing Address
First Line	:	395 LIVONIA AVE APT 5H
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11212-7236
Country	:	US
Telephone Number	:	917-743-1158
Fax Number	:

Provider Business Practice Location Address
First Line	:	395 LIVONIA AVE APT 5H
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11212-7236
Country	:	US
Telephone Number	:	917-743-1158
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/23/2025
Last Update Date	:	01/21/2026

Similar Medicare Providers

1609521129 — SHARITA L GARRETT
Practice Location Address:

395 LIVONIA AVE APT 5B
BROOKLYN, NY
11212-7236

Practice Phone: 917-640-1128
Practice Fax:

1740592898 — MS. DENISE MARIE JUAREZ OTR/L
Practice Location Address:

7236 RIVERDALE RD
BROOKLYN CENTER, MN
55430-1320

Practice Phone: 214-282-9202
Practice Fax: 763-503-3596

1558051482 — DORAL PHARMACY LLC
Practice Location Address:

1797 PITKIN AVE 2ND FLOOR
BROOKLYN, NY
11212-7844

Practice Phone: 718-971-1946
Practice Fax: 718-971-1947

1215656053 — DR. IYAD YOUSEF MOHAMMAD IDRIES
Practice Location Address:

1 BROOKDALE PLZ
BROOKLYN, NY
11212-3139

Practice Phone: 347-715-8901
Practice Fax:

1043862667 — DR. BEKA AROSHIDZE MD
Practice Location Address:

1 BROOKDALE PLZ
BROOKLYN, NY
11212-3139

Practice Phone: 718-240-5000
Practice Fax:

1851719850 — KRISTINA ERICKSEN D.O.
Practice Location Address:

1 BROOKDALE PLZ
BROOKLYN, NY
11212-3139

Practice Phone: 718-240-5000
Practice Fax:

Directions to “ DOMONIQUE CHIFFON GOVAN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.