Individual
DR. JEANNINE L. DOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2200 PENFIELD RD, PENFIELD, NY 14526-1711
(585) 922-0460
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
205850
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080164433
RAILROAD MEDICARE PTAN (PIN)
NY
Enumeration date
10/05/2006
Last updated
05/14/2025
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