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Eugene Domenico, PHD LCSW

NPI 1679608103 · on the registry since 2007

Practice

Address
Market Street
Bewley Building Suite #437
Lockport, NY 14094
Phone
(716) 438-2436
Fax
(716) 438-2435

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
103T00000X
1041C0700X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-12-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York