Active NPI
Daniel L. Dombroski, M.D., P.C.
- Specialist
- Syracuse, NY
National Provider Identifier
1922281872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 086934-1
- Legal business name
- DANIEL L. DOMBROSKI, M.D., P.C.
- Practice address
- Physicians Office BLDG. N. Ste. 4U
Community General Hospital
Syracuse, NY 13215 - Phone
- (315) 492-5777
- Fax
- (315) 492-5892
- NPI assigned
- Dec 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marianne Dillon
- Title
- Office Manager
- Phone
- (315) 488-5588
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 086934-1 | NY | Primary |
Addresses
Primary practice location
Physicians Office BLDG. N. Ste. 4U
Community General Hospital
Syracuse, NY 13215
Mailing address
Physicians Office BLDG. N. Ste. 4U
Community General Hospital
Syracuse, NY 13215
Phone (315) 492-5777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00560921 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
5700 W Genesee St
Ste 201
Camillus, NY 13031
Phone (315) 488-5588
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Vascular Surgery Physician
- Camillus, NY
- NPI 1669420881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197590400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197590400000",
"number": "1922281872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PHYSICIANS OFFICE BLDG. N. STE. 4U",
"address_2": "COMMUNITY GENERAL HOSPITAL",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "13215",
"telephone_number": "315-492-5777",
"fax_number": "315-492-5892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PHYSICIANS OFFICE BLDG. N. STE. 4U",
"address_2": "COMMUNITY GENERAL HOSPITAL",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "13215",
"telephone_number": "315-492-5777",
"fax_number": "315-492-5892"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DANIEL L. DOMBROSKI, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-14",
"last_updated": "2007-12-14",
"status": "A",
"authorized_official_last_name": "DILLON",
"authorized_official_first_name": "MARIANNE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "315-488-5588"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NY",
"license": "086934-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00560921",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.