Johnathan Mark Domenico, PA-C
Johnathan Mark Domenico, PA-C is a Physician Assistant in Potsdam, New York. Licensed in New York. Registered with an NPI since 2026.
- Licensed in
- NY
- In the registry since
- 2026
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
8 Clarkson AvePotsdam, NY 13699-1401
Phone: (315) 268-2161
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X (NY) |
|---|
Record details
| NPI number | 1346163367 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | August 4, 2026 |
| Last updated in NPPES | August 4, 2026 |
| Certification date | August 4, 2026 |
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MS. Katherine A Baker, RPA-C
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Mr. William Bronner VI, PA-C
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Matthew Cheevers, PA
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Brandon James Formoza, PA-C
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Kacee French, PA-C
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Emily Rebecca Fullerton, PA-C
190 Outer Main St, Potsdam, NY 13676-2324 · (315) 265-9271