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NPI Code Detail

MEDICARE: DENIS UTKIN ACSM CCEP

MEDICARE: DENIS UTKIN ACSM CCEP
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
1224Y00000XClinical Exercise Physiologist658238NY

General Provider Information

NPI Number : 1518804780
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENIS UTKIN ACSM CCEP
Provider Business Mailing Address
First Line : 273 HILLBROOK DR
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10305-2820
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 506 6TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11215-3609
Country : US
Telephone Number : 718-780-5651
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2026
Last Update Date : 05/04/2026

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Directions to “ DENIS UTKIN ACSM CCEP” Practice Location

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