National Provider Identifier
Jacob Dominik, MD
Jacob Dominik, MD is listed in the NPPES registry with a primary specialty of Neurology Physician in Rochester, NY and a listed phone number of (585) 419-7948.
Profile Overview
- NPI
- 1629233861
- Provider Type
- Individual
- Primary Specialty
- Neurology Physician
- Enumeration Date
- July 28, 2008
- Last Updated
- September 13, 2022
Practice Location
- 755 Jefferson RD
- Ste 110
- Rochester, NY 14623-3233
Phone: (585) 419-7948
Specialties
- Neurology Physician (2084N0400X)
- Neurology Physician (2084N0400X)
- Sleep Medicine (Internal Medicine) Physician (207RS0012X)
- Sleep Medicine (Psychiatry & Neurology) Physician (2084S0012X)
Full Record
- NPI
- 1629233861
- Entity Type
- Individual
- Last Name
- Dominik
- First Name
- Jacob
- Credential
- MD
- Mailing Street Address
- 755 Jefferson RD
- Mailing Address Line 2
- Ste 110
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14623-3233
- Mailing Country
- US
- Mailing Phone
- (585) 419-7948
- Mailing Fax
- (585) 385-6071
- Practice Street Address
- 755 Jefferson RD
- Practice Address Line 2
- Ste 110
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14623-3233
- Practice Country
- US
- Practice Phone
- (585) 419-7948
- Practice Fax
- (585) 385-6071
- Enumeration Date
- July 28, 2008
- Last Updated
- September 13, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- September 13, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Neurology Physician (2084N0400X), Neurology Physician (2084N0400X), Sleep Medicine (Internal Medicine) Physician (207RS0012X), Sleep Medicine (Psychiatry & Neurology) Physician (2084S0012X)
- Other Identifiers
- ENROLLED (IA), 03400199 (NY), ENROLLED (MN), P010257520 (NY, Excellus), P00804268 (MN, Medicare - Railroad)