Individual
BASTIAN DOMAJNKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 RED CREEK DR STE 200, ROCHESTER, NY 14623-4300
(585) 244-5670
(585) 359-3907
Mailing address
600 RED CREEK DR STE 200, ROCHESTER, NY 14623-4300
(585) 244-5670
(585) 359-3907
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036117665
IL
208C00000X
Colon & Rectal Surgery Physician
036117665
IL
208C00000X
Colon & Rectal Surgery Physician
Primary
248932
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/13/2006
Last updated
09/15/2022
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