Individual
JACOB DOMINIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
755 JEFFERSON RD, STE 110, ROCHESTER, NY 14623-3233
(585) 419-7948
(585) 385-6071
Mailing address
755 JEFFERSON RD, STE 110, ROCHESTER, NY 14623-3233
(585) 419-7948
(585) 385-6071
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
104326
MN
2084N0400X
Neurology Physician
104326
MN
2084N0400X
Neurology Physician
Primary
257520
NY
2084N0400X
Neurology Physician
52196
MN
2084N0400X
Neurology Physician
ME98936
FL
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
257520
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03400199
—
NY
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
01
—
P00804268
MEDICARE - RAILROAD
MN
01
—
P010257520
EXCELLUS
NY
Enumeration date
07/28/2008
Last updated
09/13/2022
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