Individual
DENNIS S O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
102 RACE TRACK RD STE 1, TICONDEROGA, NY 12883-4004
(518) 585-6708
(518) 585-3260
Mailing address
9 CAREY RD, QUEENSBURY, NY 12804-7880
(518) 761-0300
(518) 824-2388
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
154766
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00774992
—
NY
Enumeration date
02/02/2007
Last updated
11/09/2018
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