National Provider Identifier
Susan B Dominick, RN
Susan B Dominick, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in Fairport, NY and a listed phone number of (585) 223-7847.
Profile Overview
- NPI
- 1689974271
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- October 28, 2010
- Last Updated
- October 28, 2010
Practice Location
- 6239 Pittsford Palmyra RD
- Fairport, NY 14450-3123
Phone: (585) 223-7847
Specialties
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1689974271
- Entity Type
- Individual
- Last Name
- Dominick
- First Name
- Susan
- Middle Name
- B
- Credential
- RN
- Mailing Street Address
- 6239 Pittsford Palmyra RD
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-3123
- Mailing Country
- US
- Mailing Phone
- (585) 223-7847
- Mailing Fax
- (585) 223-5137
- Practice Street Address
- 6239 Pittsford Palmyra RD
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-3123
- Practice Country
- US
- Practice Phone
- (585) 223-7847
- Practice Fax
- (585) 223-5137
- Enumeration Date
- October 28, 2010
- Last Updated
- October 28, 2010
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X)