National Provider Identifier
Jeannine L. Dolan, M.D.
Jeannine L. Dolan, M.D. is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Penfield, NY and a listed phone number of (585) 922-0460.
Profile Overview
- NPI
- 1689761454
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- October 05, 2006
- Last Updated
- May 14, 2025
Practice Location
- 2200 Penfield RD
- Penfield, NY 14526-1711
Phone: (585) 922-0460
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1689761454
- Entity Type
- Individual
- Last Name
- Dolan
- First Name
- Jeannine
- Middle Name
- L.
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Practice Street Address
- 2200 Penfield RD
- Practice City
- Penfield
- Practice State
- NY
- Practice ZIP Code
- 14526-1711
- Practice Country
- US
- Practice Phone
- (585) 922-0460
- Enumeration Date
- October 05, 2006
- Last Updated
- May 14, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 14, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)
- Other Identifiers
- 080164433 (NY, Railroad Medicare Ptan (Pin))