Organization
DR.DENNIS MEDICAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS RADOSHKEVICH MD (PRESIDENT)
(347) 254-0826
Entity
Organization
Contact information
Practice address
128 MOTT ST, SUITE 401, NEW YORK, NY 10013-5540
(212) 219-2723
(718) 795-4395
Mailing address
128 MOTT ST, SUITE 401, NEW YORK, NY 10013-5540
(212) 219-2723
(718) 795-4395
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
253332
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03264555
—
NY
Enumeration date
05/06/2016
Last updated
05/06/2016
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