Healthcare Provider Details

I. General information

NPI: 1982125118
Provider Name (Legal Business Name): DN MEDICAL SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2017
Last Update Date: 02/09/2023
Certification Date: 02/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

538 E FORDHAM RD
BRONX NY
10458-5015
US

IV. Provider business mailing address

538 E FORDHAM RD
BRONX NY
10458-5015
US

V. Phone/Fax

Practice location:
  • Phone: 347-590-0660
  • Fax: 718-295-2404
Mailing address:
  • Phone: 347-590-0660
  • Fax: 718-295-2404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. DENISE JOANNA NUNEZ
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 347-334-0906