| Johnathan Mark Domenico, PA-C | |
|
8 Clarkson Ave, Potsdam, NY 13699-1401 | |
| (315) 268-2161 | |
| Not Available |
| Full Name | Johnathan Mark Domenico |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 8 Clarkson Ave, Potsdam, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346163367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Johnathan Mark Domenico, PA-C 7134 Rickmeyer Rd, Rome, NY 13440-6342 Ph: Not Available | Johnathan Mark Domenico, PA-C 8 Clarkson Ave, Potsdam, NY 13699-1401 Ph: (315) 268-2161 |
Heather Mackinnon, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 315-265-3300 |
Bernadette Avila, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 49 Lawrence Ave, Potsdam, NY 13676 Phone: 315-261-5550 |
An Tulloch, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12 Elm St, Potsdam, NY 13676 Phone: 315-261-5420 |
Christina Kashmer, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 315-265-3300 |
Luke Alexander Gillis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 315-265-3300 |
Abrinel Marie Seeger, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 8 Clarkson Ave, Potsdam, NY 13669 Phone: 315-268-6400 |
Matthew Cheevers, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 315-265-3300 |