Individual
SARA PAULINE DOMACHOWSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
301 PROSPECT AVE, SYRACUSE, NY 13203-1899
(315) 448-5111
Mailing address
2895 STATE ROUTE 48, OSWEGO, NY 13126-6524
(315) 532-4590
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F352332-01
NY
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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