# MR. MICHAL DOMENY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1942457965
- **Gender:** Man
- **Credential:** L.AC, CD/N

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133N00000X | Nutritionist | 006241-1 | NY | — |
| 171100000X | Acupuncturist | 003443-1 | NY | — |
| 363L00000X | Nurse Practitioner | 645452-1 | NY | — |
| 363LA2200X | Adult Health Nurse Practitioner | 337835 | NY | Yes |

## Other

- **Enumeration date:** 08/20/2008
- **Last updated:** 05/18/2023