National Provider Identifier

Sydney Domanowski, DO

Sydney Domanowski, DO is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Warsaw, NY and a listed phone number of (585) 786-1560.

NPI 1093194631Warsaw, NYFamily Medicine Physician

Profile Overview

NPI
1093194631
Provider Type
Individual
Primary Specialty
Family Medicine Physician
Enumeration Date
May 28, 2015
Last Updated
June 09, 2020

Practice Location

  • 408 N Main St
  • Warsaw, NY 14569-1015

Phone: (585) 786-1560

Mailing Address

  • 263 Liberty St Ste 2
  • Arcade, NY 14009-1626

Specialties

  • Family Medicine Physician (207Q00000X)
Full Record
NPI
1093194631
Entity Type
Individual
Last Name
Domanowski
First Name
Sydney
Name Prefix
Dr.
Credential
DO
Mailing Street Address
263 Liberty St Ste 2
Mailing City
Arcade
Mailing State
NY
Mailing ZIP Code
14009-1626
Mailing Country
US
Mailing Phone
(585) 496-5007
Practice Street Address
408 N Main St
Practice City
Warsaw
Practice State
NY
Practice ZIP Code
14569-1015
Practice Country
US
Practice Phone
(585) 786-1560
Enumeration Date
May 28, 2015
Last Updated
June 09, 2020
Sex
Female
Sole Proprietor
No
Certification Date
June 09, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Medicine Physician (207Q00000X)