National Provider Identifier
Daniel Jose Idoate Domench
Daniel Jose Idoate Domench is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (323) 350-0446.
Profile Overview
- NPI
- 1144901752
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- July 27, 2023
- Last Updated
- July 27, 2023
Practice Location
- 1425 Portland Ave
- Rochester, NY 14621-3011
Phone: (323) 350-0446
Mailing Address
- 253 Alexander St Apt 418
- Rochester, NY 14607-2542
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1144901752
- Entity Type
- Individual
- Last Name
- Idoate Domench
- First Name
- Daniel Jose
- Mailing Street Address
- 253 Alexander St Apt 418
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14607-2542
- Mailing Country
- US
- Mailing Phone
- (323) 350-0446
- Practice Street Address
- 1425 Portland Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3011
- Practice Country
- US
- Practice Phone
- (323) 350-0446
- Enumeration Date
- July 27, 2023
- Last Updated
- July 27, 2023
- Sex
- Male
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- July 27, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)