# DR. NICOLE ELISE DOMINACH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1851916431
- **Gender:** F
- **Credential:** DNP, APRN, AGPCNP-BP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 771327-01 | NY | — |
| 363LA2200X | Adult Health Nurse Practitioner | 309643 | NY | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | F309643-01 | NY | Yes |

## Other

- **Enumeration date:** 06/10/2020
- **Last updated:** 08/24/2026