Individual
TJWANA DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(646) 618-5397
Mailing address
622 W 168TH ST, NEW YORK, NY 10032-3720
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
475382
NY
Other
Enumeration date
04/07/2026
Last updated
04/07/2026
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