National Provider Identifier
Susan M Domon, PA
Susan M Domon, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Amherst, NY and a listed phone number of (716) 204-4500.
Profile Overview
- NPI
- 1003139007
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- March 04, 2010
- Last Updated
- January 30, 2017
Practice Location
- 1 John James Audubon Pkwy
- Amherst, NY 14228-1145
Phone: (716) 204-4500
Mailing Address
- 17 Segsbury RD
- Williamsville, NY 14221-3407
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1003139007
- Entity Type
- Individual
- Last Name
- Domon
- First Name
- Susan
- Middle Name
- M
- Credential
- PA
- Mailing Street Address
- 17 Segsbury RD
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-3407
- Mailing Country
- US
- Mailing Phone
- (585) 507-0847
- Practice Street Address
- 1 John James Audubon Pkwy
- Practice City
- Amherst
- Practice State
- NY
- Practice ZIP Code
- 14228-1145
- Practice Country
- US
- Practice Phone
- (716) 204-4500
- Enumeration Date
- March 04, 2010
- Last Updated
- January 30, 2017
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)