Individual
CARLY DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 CLINTON AVE S, BUILDING G, SUITE 2, ROCHESTER, NY 14618-2668
(585) 341-7683
(585) 341-4220
Mailing address
601 ELMWOOD AVE, BOX 278980, ROCHESTER, NY 14642-0001
(585) 341-7683
(585) 341-4220
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
268091
NY
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
268091
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2010
Last updated
03/21/2023
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