Individual
DR. MICHAEL DENNIS CORRENTE JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
445 ODER AVE, STATEN ISLAND, NY 10304-4526
(917) 476-5949
Mailing address
445 ODER AVE, STATEN ISLAND, NY 10304-4526
(917) 476-5949
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
234255
NY
Other
Enumeration date
10/21/2005
Last updated
07/08/2007
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