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NPI Code Detail

MEDICARE: DR. ELIZABETH ROSE DENNIS MD, MS

MEDICARE: DR. ELIZABETH ROSE DENNIS MD, MS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207XX0005XSports Medicine (Orthopaedic Surgery) Physician302089NY

General Provider Information

NPI Number : 1548647191
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELIZABETH ROSE DENNIS MD, MS
Provider Business Mailing Address
First Line : 135 N 7TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11249-2927
Country : US
Telephone Number : 718-218-0450
Fax Number :
Provider Business Practice Location Address
First Line : 135 N 7TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11249-2927
Country : US
Telephone Number : 718-218-0450
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2015
Last Update Date : 08/02/2023

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