NPI 1134266117

Edward Didomenico, LPN

Practitioner Licensed Practical Nurse Cicero, NY

Practice location

Address: 5972 Pony Ln, Cicero, NY 13039-9046
Phone: (315) 699-4002

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 271653 (NY)

Other Licensed Practical Nurse providers in New York →

Registry record

NPI: 1134266117
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Jan 2007
Record last updated: 9 Jul 2007

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.