Individual
MARY L DOMBOVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2655 RIDGEWAY AVE, SUITE 420, ROCHESTER, NY 14626-4285
(585) 723-7972
(585) 368-3119
Mailing address
2655 RIDGEWAY AVE, SUITE 420, ROCHESTER, NY 14626-4285
(585) 723-7972
(585) 368-3119
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
178528
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01674533
—
NY
01
—
1785286
WORKERS COMP
—
Enumeration date
06/27/2006
Last updated
09/15/2022
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