National Provider Identifier
Christina Domicello
Christina Domicello is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Penfield, NY and a listed phone number of (585) 500-5142.
Profile Overview
- NPI
- 1043681935
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- October 17, 2015
- Last Updated
- October 17, 2015
Practice Location
- 1505 Shoecraft RD
- Penfield, NY 14526-9707
Phone: (585) 500-5142
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1043681935
- Entity Type
- Individual
- Last Name
- Domicello
- First Name
- Christina
- Mailing Street Address
- 1505 Shoecraft RD
- Mailing City
- Penfield
- Mailing State
- NY
- Mailing ZIP Code
- 14526-9707
- Mailing Country
- US
- Mailing Phone
- (585) 500-5142
- Practice Street Address
- 1505 Shoecraft RD
- Practice City
- Penfield
- Practice State
- NY
- Practice ZIP Code
- 14526-9707
- Practice Country
- US
- Practice Phone
- (585) 500-5142
- Enumeration Date
- October 17, 2015
- Last Updated
- October 17, 2015
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)