Individual
KYLE ANDREW DENNISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
317 S MANNING BLVD STE 100, ALBANY, NY 12208
(518) 525-1404
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634
(518) 649-4060
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
280605
NY
Other
Enumeration date
06/17/2010
Last updated
05/11/2021
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