Domondon, Fernando B
Domondon, Fernando B is an individual health care provider with primary practice located at S 3669 Southwestern Blvd Mercy Ambulatory Care Center, Orchard Park NY 14127. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Domondon, Fernando B can be contacted via phone (716) 204-4500.Contact Information
Primary practice address
S 3669 Southwestern Blvd Mercy Ambulatory Care Center
Orchard Park NY 14127
Phone: (716) 204-4500
Fax: (716) 204-4501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 196197-1 | New York |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 196197 | New York |
Profile Details
| NPI number | 1013969492 |
|---|---|
| LBN Legal business name | Domondon, Fernando B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Jun 28th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013969492 | NPPES |
| New York | MEDICAID | 01610939 |
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