Individual
DENNIS VENGLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
626 SHEEPSHEAD BAY RD STE 1, BROOKLYN, NY 11224-3607
(718) 215-7340
Mailing address
2816 W 8TH ST APT 3P, BROOKLYN, NY 11224-3362
(347) 967-6688
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
029043
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TA62143P
—
NY
Enumeration date
01/10/2023
Last updated
01/12/2023
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