SearchNew York183500000X

Kaitlin Domer

NPI 1821420837 · on the registry since 2013

Practice

Address
6189 State Route 31
Cicero, NY 13039
Phone
(315) 699-0812
Organisation at this address
Walgreen Co
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Additional practice sites

  • 602 Nottingham Rd, Syracuse, NY
  • 401 W Seneca Tpke, Syracuse, NY

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-09-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York