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Individual

DENNIS W. VANDUNK III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
110 EAST 58TH ST., 10TH FLOOR, NEW YORK, NY 10022-2106
(212) 434-4650
(212) 288-1462
Mailing address
1 MOCCASSIN PL, WARWICK, NY 10990-2106
(845) 323-6379

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
01/10/2023
Last updated
05/06/2024
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