CHRISTINA DOMICELLO
NPI 1043681935
Licensed Practical Nurse in Penfield, NY

Active since October 17, 2015
1505 SHOECRAFT RD, PENFIELD, NY 14526(585) 500-5142 Get Directions Write a Review

NPPES record last updated: October 17, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Christina Domicello NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRISTINA DOMICELLO (NPI 1043681935) is an individual licensed practical nurse in Penfield, New York, licensed in New York (3237931) and active in the NPI registry since October 2015.

NPPES Registry Identity

NPI1043681935
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameCHRISTINA DOMICELLO
Location Address1505 SHOECRAFT RDPenfield, NY 14526-9707
Mailing Address1505 Shoecraft RdPenfield, NY 14526-9707 · (585) 500-5142
Sole ProprietorYes
Enumeration DateOctober 17, 2015
NPI 1043681935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in NY · 3237931
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
1505 SHOECRAFT RD, Penfield, NY 14526

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Christina Domicello's NPI number?

The NPI number for Christina Domicello is 1043681935. It was assigned to this individual provider in the NPPES registry on October 17, 2015.

Where is Christina Domicello located?

Christina Domicello practices at 1505 Shoecraft Rd, Penfield, NY 14526. The listed phone number is (585) 500-5142.

What is Christina Domicello's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Christina Domicello was last updated on October 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.