MRS. JESSICA NICOLE DORNEMANN ATC NPI 1174297261

NPI Information

NPI: 1174297261
Provider Name: MRS. JESSICA NICOLE DORNEMANN, ATC
Classification: Preventive Medicine - 2083S0010X
Entity Type: Individual

Specialization: Sports Medicine

Address:
1000 HEMPSTEAD AVE
ROCKVILLE CENTRE, NY
ZIP 11570
Phone: (516) 323-3607
Get Directions

MRS. Jessica Nicole Dornemann, ATC is a sports medicine preventive medicine in Rockville Centre, NY. The provider is a preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries. MRS. Jessica Nicole Dornemann, ATC NPI is 1174297261. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1000 HEMPSTEAD AVE
ROCKVILLE CENTRE, NY
ZIP 11570-135
Phone: (516) 323-3607

The enumeration date for this NPI number is 8/3/2021 and was last updated on 8/3/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2083S0010X	Preventive Medicine	Sports Medicine	002570-1	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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