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Individual

DR. NICOLE ELISE DOMINACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, APRN, AGPCNP-BP

Contact information

Practice address
601 ELMWOOD AVE., ROCHESTER, NY 14642-0001
(585) 242-1300
(585) 473-5007
Mailing address
601 ELMWOOD AVE BOX 604, ROCHESTER, NY 14642-0001
(585) 275-1385

Taxonomy

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

Other

Enumeration date
06/10/2020
Last updated
05/18/2023
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