Individual
DR. DOUGLAS JAMES DENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1322 GERLING ST, SCHENECTADY, NY 12308-1702
(518) 346-3334
(518) 346-4030
Mailing address
1322 GERLING ST, SCHENECTADY, NY 12308-1702
(518) 280-4535
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
214216
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000404837001
BSNENY
NY
05
—
02495545
—
NY
01
—
10078428
CDPHP
NY
01
—
5264C1
EMPIRE BC
NY
01
—
7101614
AETNA
NY
01
—
710659
MVP
NY
01
—
77022
GHI/HMO
NY
Enumeration date
07/25/2006
Last updated
02/07/2008
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