National Provider Identifier
Fernando B Domondon Jr., MD
Fernando B Domondon Jr., MD is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician in Orchard Park, NY and a listed phone number of (716) 204-4500.
Profile Overview
- NPI
- 1013969492
- Provider Type
- Individual
- Primary Specialty
- Emergency Medicine Physician
- Enumeration Date
- May 16, 2006
- Last Updated
- June 28, 2023
Practice Location
- S 3669 Southwestern Blvd
- Mercy Ambulatory Care Center
- Orchard Park, NY 14127
Phone: (716) 204-4500
Mailing Address
- 6653 Main St
- Williamsville, NY 14221-5906
Specialties
- Emergency Medicine Physician (207P00000X)
- Emergency Medical Services (Emergency Medicine) Physician (207PE0004X)
Full Record
- NPI
- 1013969492
- Entity Type
- Individual
- Last Name
- Domondon
- First Name
- Fernando
- Middle Name
- B
- Name Suffix
- Jr.
- Credential
- MD
- Mailing Street Address
- 6653 Main St
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-5906
- Mailing Country
- US
- Mailing Phone
- (716) 204-4500
- Mailing Fax
- (716) 204-4501
- Practice Street Address
- S 3669 Southwestern Blvd
- Practice Address Line 2
- Mercy Ambulatory Care Center
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127
- Practice Country
- US
- Practice Phone
- (716) 204-4500
- Practice Fax
- (716) 204-4501
- Enumeration Date
- May 16, 2006
- Last Updated
- June 28, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- June 28, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Emergency Medicine Physician (207P00000X), Emergency Medical Services (Emergency Medicine) Physician (207PE0004X)
- Other Identifiers
- 01610939 (NY)