Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK WILLIAM DORMER, PA
ActiveJACK WILLIAM DORMER, PA is a Physician Assistant healthcare provider located in WILLIAMSVILLE, New York. NPI 1285317024 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · WILLIAMSVILLE, NY
Registration Details
- NPI Number
- 1285317024
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 9, 2023 (3.0066030566563 yrs)
- Last Updated
- Aug 9, 2023
- License
-
030380 (NY)
Practice Information
- Address
-
111 NORTH MAPLEMERE ROADSUITE 100WILLIAMSVILLE, NY, 14221Browse NY providers · Browse ZIP 14221
- Phone
- 7162043200
- Fax
- 7162044337
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in WILLIAMSVILLE, NY
| Name | Credential | NPI |
|---|---|---|
| LINDA S TOSETTO | PA | 1801895271 |
| TALIA ROOT | PA | 1184624348 |
| JENNIFER M KIELBASA | RPA C | 1942283031 |
| BETTYJO P MCAULIFFE | RPA C | 1578546669 |
| PIA L MUSIELAK | RPA-C | 1194708180 |
| GREGORY A CZAJKA | RPA C | 1740265537 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.