Individual
DR. JAY DENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 E 85TH ST STE 1A, NEW YORK, NY 10028-0412
(212) 545-8506
(212) 685-5166
Mailing address
10 E 85TH ST STE 1A, NEW YORK, NY 10028-0412
(212) 545-8506
(212) 685-5166
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
182755
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113028415
TAX ID #
NY
01
—
457945
AETNA/ US HEATHCARE
NY
01
—
NS1955
OXFORD
NY
Enumeration date
03/08/2006
Last updated
06/23/2014
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