Individual
RONALD D ENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 10TH AVE, LOWER LEVEL, NEW YORK, NY 10019-1147
(212) 523-7165
(212) 523-8189
Mailing address
PO BOX 95000-2456, PHILADELPHIA, PA 19195-0001
(212) 844-8027
(212) 844-6306
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
196138
NY
2085R0001X
Radiation Oncology Physician
Primary
25MA09380900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01811072
—
NY
Enumeration date
12/06/2005
Last updated
06/03/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us