National Provider Identifier

Jessica Lynn Dominesey, BS

Jessica Lynn Dominesey, BS is listed in the NPPES registry with a primary specialty of Specialist in Tonawanda, NY and a listed phone number of (176) 909-5061.

NPI 1528329802Tonawanda, NYSpecialist

Profile Overview

NPI
1528329802
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
June 04, 2012
Last Updated
June 04, 2012

Practice Location

  • 276 Hinds St
  • Tonawanda, NY 14150-3727

Phone: (176) 909-5061

Specialties

  • Specialist (174400000X)
Full Record
NPI
1528329802
Entity Type
Individual
Last Name
Dominesey
First Name
Jessica
Middle Name
Lynn
Name Prefix
Miss
Credential
BS
Mailing Street Address
276 Hinds St
Mailing City
Tonawanda
Mailing State
NY
Mailing ZIP Code
14150-3727
Mailing Country
US
Mailing Phone
(176) 909-5061
Practice Street Address
276 Hinds St
Practice City
Tonawanda
Practice State
NY
Practice ZIP Code
14150-3727
Practice Country
US
Practice Phone
(176) 909-5061
Enumeration Date
June 04, 2012
Last Updated
June 04, 2012
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)