Individual provider · Type 1 NPI

Dominique Dematties, AGNP

Adult Health Nurse Practitioner · Syracuse, NY

NPI number 1922845528 Active

Practice location

1000 E Genesee St
Syracuse, NY 13210-1892

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600X311889 (NY)
Adult Health Nurse Practitioner Primary 363LA2200X311889 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1922845528

Dominique Dematties, AGNP's National Provider Identifier is 1922845528, issued on Jul 10, 2024. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Syracuse, NY. The record was last updated on Jul 10, 2024.