Individual
DENNIS C. SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
427 GUY PARK AVE, AMSTERDAM, NY 12010-1054
(518) 841-7237
Mailing address
307 S EVERGREEN AVE, WOODBURY, NJ 08096-2739
(856) 686-4300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
009781
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
377155
MVP
NY
Enumeration date
07/10/2006
Last updated
04/18/2008
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