Individual
MR. DENNISON PAUL WE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(516) 670-1000
Mailing address
306 CLEMENT AVE, ELMONT, NY 11003-3434
(516) 859-0359
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
304435
NY
Other
Enumeration date
08/03/2011
Last updated
08/03/2011
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