NPI 1003139007

Susan M Domon, PA

Practitioner Physician Assistant Amherst, NY

Practice location

Address: 1 John James Audubon Pkwy, Amherst, NY 14228-1145
Phone: (716) 204-4500
Mailing address: 17 Segsbury Rd, Williamsville, NY 14221-3407

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 013898 (NY)

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Registry record

NPI: 1003139007
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Mar 2010
Record last updated: 30 Jan 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.