Individual
MRS. DOMINIQUE JB BANDARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1815 S. CLINTON AVE STE 360, ROCHESTER, NY 14618
(585) 568-8330
(585) 568-8327
Mailing address
1815 S. CLINTON AVE STE 360, ROCHESTER, NY 14618
(585) 568-8330
(585) 568-8327
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD460458
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60851629
—
NY
Enumeration date
03/31/2014
Last updated
03/12/2025
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