Provider Demographics
NPI:1508755786
Name:DOMINICK, PATRICIA ELIZABETH (PA-C)
Entity type:Individual
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First Name:PATRICIA
Middle Name:ELIZABETH
Last Name:DOMINICK
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:1409 PENNELL RD
Mailing Address - Street 2:
Mailing Address - City:BRODHEADSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18322-7747
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:327 N WASHINGTON AVE STE 200
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18503-1535
Practice Address - Country:US
Practice Address - Phone:570-961-5522
Practice Address - Fax:570-207-5579
Is Sole Proprietor?:No
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant