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Jack Dormer, PA
NPI 1285317024 · on the registry since 2023
Practice
- Address
- 111 North Maplemere Road
Suite 100
Williamsville, NY 14221 - Phone
- (716) 204-3200
- Fax
- (716) 204-4337
- Organisation at this address
- Great Lakes Medical Imaging Llc
University Orthopaedic Services Inc.
Northtowns Ambulatory Surgery Center, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 75
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-08-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York