Jacob Dominik is a Sleep Medicine in Rochester, New York. Jacob Dominik practices all healthcare services and medical treatments related to Sleep Medicine. The NPI Number for Jacob Dominik is 1629233861. The last update date is 2022-09-13.
Jacob Dominik's current location address is 755 Jefferson Rd, Rochester, New York. You can contact this provider via phone number 5854197948 and fax number 5853856071. The mailing address for Jacob Dominik is 755 Jefferson Rd, Rochester, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacob Dominik |
|---|---|
| Address | 755 Jefferson Rd, Rochester, New York |
| Phone Number | 5854197948 |
| Fax Number | 5853856071 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1629233861 |
|---|---|
| Provider Enumeration Date | 2008-07-28 |
| Last Updated Date | 2022-09-13 |
Provider Mailing Address Detail
| Address | 755 Jefferson Rd |
|---|---|
| City | Rochester |
| State | New York (NY) |
| Post Code | 146233233 |
| Phone Number | 5854197948 |
| Fax Number | 5853856071 |
Provider's Primary Taxonomy Detail
| Speciality | Sleep Medicine |
|---|---|
| Taxonomy | 2084S0012X |
| Licence No | 257520 |
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Definition: A Psychiatrist or Neurologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorder |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ENROLLED | IA | -- | |
| 3400199 | NY | -- | |
| ENROLLED | MN | -- | |
| P010257520 | NY | EXCELLUS | |
| P00804268 | MN | MEDICARE - RAILROAD |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jacob Dominik by the Centers for Medicare & Medicaid Services?
The Jacob Dominik has been issued the NPI (National Provider Identifier) 1629233861, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jacob Dominik is physically located?
The Jacob Dominik is physically situated at the following address: 755 Jefferson Rd, Rochester, NY, 146233233.
What is Jacob Dominik's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jacob Dominik is Sleep Medicine, and the taxonomy classification code that categorizes this area of expertise is 2084S0012X.
When did the Jacob Dominik receive its 1629233861?
The Jacob Dominik was issued its 1629233861 on 2008-07-28, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Jacob Dominik most recently updated or revised?
The information pertaining to Jacob Dominik, including its address, specialty, and other relevant details, was last updated or revised on 2022-09-13.