Organization
THE DENNELISSE CORPORATION
Active
Other names
DENNELISSE LHCSA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEOFFREY ANAELE (CFO)
(212) 265-8320
Entity
Organization
Contact information
Practice address
460 WILLIS AVE FL 2, BRONX, NY 10455-4013
(212) 265-8320
(212) 246-2547
Mailing address
460 WILLIS AVE FL 2, BRONX, NY 10455-4013
(212) 265-8320
(212) 246-2547
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0562L001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01449994
—
NY
05
—
1043340474
—
NY
Enumeration date
11/22/2006
Last updated
01/14/2022
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