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Contact Information

FERNANDO B DOMONDON JR, MD
S 3669 SOUTHWESTERN BLVD
MERCY AMBULATORY CARE CENTER
ORCHARD PARK, NY14127
 Phone: 716-204-4500
 Fax: 716-204-4501
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Emergency Medical Services

207PE0004X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for FERNANDO B DOMONDON JR · (Male)

NPI Number 1013969492
Status Active
Credentials MD
Entity Individual
Enumeration date 05/16/2006
Last updated 06/28/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 196197
  • NY License # 196197-1
  • NY Medicaid 01610939
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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