| Edward Didomenico, LPN | |
|
5972 Pony Ln, Cicero, NY 13039-9046 | |
| (315) 699-4002 | |
| Not Available |
| Full Name | Edward Didomenico |
|---|---|
| Gender | Male |
| Speciality | Licensed Practical Nurse |
| Location | 5972 Pony Ln, Cicero, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134266117 | NPI | - | NPPES |
| 02557133 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 271653 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Edward Didomenico, LPN 5972 Pony Ln, Cicero, NY 13039-9046 Ph: (315) 699-4002 | Edward Didomenico, LPN 5972 Pony Ln, Cicero, NY 13039-9046 Ph: (315) 699-4002 |
Mrs. Patricia A Hatch, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 5861 Glendora Rd, Cicero, NY 13039 Phone: 315-699-4085 | |
Ms. Christina M Smith, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 8449 Bayridge Rd, Cicero, NY 13039 Phone: 315-720-2466 | |
Max Faubert Lysius, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 6303 Yulewood Cir, Cicero, NY 13039 Phone: 315-885-0550 | |
Ms. Taralynne Jenkins, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 8770 Honeycomb Path, Cicero, NY 13039 Phone: 315-882-5177 | |
Mrs. Tina Marie Dykes, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 6166 Ketch Drive, Cicero, NY 13039 Phone: 315-575-7170 | |
Karen Greene, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 7817 Elwill Rd, Cicero, NY 13039 Phone: 315-476-0600 |