Individual
MRS. JESSICA NICOLE DORNEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1000 HEMPSTEAD AVE, ROCKVILLE CENTRE, NY 11570-1135
(516) 323-3607
Mailing address
155 WHITE RD, MINEOLA, NY 11501-2247
(203) 561-0091
Taxonomy
Speciality
Code
Description
License number
State
2083S0010X
Sports Medicine (Preventive Medicine) Physician
Primary
002570-1
NY
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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