Organization Name: | DENNIS & CONNOLLY, D.P.M., PLLC |
NPI Number: | 1134308166 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LESTER N DENNIS (MEMBER) |
Mailing Address: | 150 Purchase St Suite 5 Rye |
State: | NY US |
Postal Code: | 105802141 |
Phone Number: | 9149211668 |
Fax Number: | 9149675887 |
NPI Enumeration Date: | 10/26/2007 |
NPI Last Update Date: | 10/26/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |