Individual provider · Type 1 NPI

Jack William Dormer, PA

Physician Assistant · Williamsville, NY

NPI number 1285317024 Active

Practice location

111 North Maplemere Road, Suite 100
Williamsville, NY 14221

Fax (716) 204-4337

Mailing address

4225 Genesee St Ste 400
Cheektowaga, NY 14225-1994

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X030380 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1285317024

Jack William Dormer, PA's National Provider Identifier is 1285317024, issued on Aug 9, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Williamsville, NY. The record was last updated on Aug 9, 2023.