Most Relevant Information
Provider Data
| NPI Number: | 1003337940 |
| Provider Name: | JUDITH DOMANSKI RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 283040 |
Most Important Dates
| Enumeration Date: | 06/30/2017 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
2250 WEHRLE DR STE 1
WILLIAMSVILLE
NY
142217034
Practice Location Phone/Fax
| Phone: | 7162762123 |
| Fax: |
Provider Mailing Location
2250 WEHRLE DR STE 1
WILLIAMSVILLE
NY
142217034
Provider Mailing Phone/Fax
| Phone: | 7162762123 |
| Fax: |