Individual
MICHAEL J DANNENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
177 MAIN STREET, HUNTINGTON, NY 11743-6951
(631) 421-4188
(631) 421-4197
Mailing address
177 MAIN STREET, HUNTINGTON, NY 11743-6951
(631) 421-4188
(631) 421-4197
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
195567
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00195567
—
NY
Enumeration date
08/01/2006
Last updated
08/13/2008
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