Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dominique S Fertal, CRNA

Individual provider Registered Nurse · NPI 1891220810

Dominique S Fertal, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Canandaigua, New York. Qualified in 2017, 9 years ago. Practices with West Virginia University Medical Corporation, a 1,981-clinician group and accepts Medicare assignment. Licensed in New York and Pennsylvania.

Years since qualifying
9
Licensed in
NY, PA
In the registry since
2017
Specialties on file
3
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

350 Parrish St
Canandaigua, NY 14424-1731
Phone: (585) 919-2668
Fax: (585) 396-6455
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 629842 (NY)
Registered Nurse Taxonomy 163W00000X · Licence RN656120 (PA)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence RN656120 (PA)

Record details

NPI number1891220810
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedApril 27, 2017
Last updated in NPPESJanuary 13, 2020
Certification dateJanuary 13, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice West Virginia University Medical Corporation — 1981 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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