Individual
MRS. CYNTHIA MARIE DOMANSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
450 DURSTON AVE, SYRACUSE, NY 13203-1105
(315) 435-4951
Mailing address
725 HARRISON ST, SYRACUSE, NY 13210-2395
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
578948
NY
Other
Enumeration date
11/17/2011
Last updated
12/13/2011
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