Individual
DENNIS SHU-CHIH MAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
255 LAFAYETTE AVE, SUFFERN, NY 10901-4812
(845) 368-4800
(845) 369-1697
Mailing address
20 GRAND ST, FL 3, WARWICK, NY 10990-1035
(845) 368-5000
(845) 987-5979
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2005521
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02091394
—
NY
Enumeration date
07/04/2006
Last updated
12/05/2016
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