Individual
DR. MATTHEW L. DENNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
26 NORTH FRONT STREET, NEW PALTZ, NY 12561
(845) 255-7900
(845) 255-7901
Mailing address
26 NORTH FRONT STREET, NEW PALTZ, NY 12561
(845) 255-7900
(845) 255-7901
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
214974
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02042822
—
NY
Enumeration date
01/10/2007
Last updated
08/29/2012
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