Individual
DR. BRUCE EARL DENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4802 10TH AVE, DEPT OF RADIOLOGY MAIMONIDES MED CTR, BROOKLYN, NY 11219-2916
(718) 283-6158
(718) 635-8411
Mailing address
4802 10TH AVE, DEPT OF RADIOLOGY MAIMONIDES MED CTR, BROOKLYN, NY 11219-2916
(718) 283-6158
(718) 635-8411
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
191663-1
NY
2085R0202X
Diagnostic Radiology Physician
Primary
191663-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01441083
—
NY
Enumeration date
05/16/2006
Last updated
05/05/2014
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