Individual
DR. JAY DENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
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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