Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Christina Domicello

Individual provider Licensed Practical Nurse · NPI 1043681935

Christina Domicello is a Licensed Practical Nurse in Penfield, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2015

Practice location Address checks out

1505 Shoecraft Rd
Penfield, NY 14526-9707 Not confirmed with CMS for 10 years — call before visiting
Phone: (585) 500-5142
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 3237931 (NY)

Record details

NPI number1043681935
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 17, 2015
Last updated in NPPESOctober 17, 2015

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