Domachowske, Joseph Bernard

Domachowske, Joseph Bernard is an individual health care provider with primary practice located at 750 E Adams St , Syracuse NY 13210-2342. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases, which is considered as his primary health care specialty. Domachowske, Joseph Bernard can be contacted via phone (315) 464-5450.

Contact Information

Primary practice address
750 E Adams St Syracuse NY 13210-2342
Phone: (315) 464-5450
Fax: (315) 464-6322
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X 184725 New York

Profile Details

NPI number 1720007651
LBN Legal business name Domachowske, Joseph Bernard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Aug 27th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1720007651 NPPES
New York MEDICAID 01781680

Popular Providers