MEDICARE: CATHERINE ANNE DENNIS

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
1	363LW0102X	Women's Health Nurse Practitioner	F420493	NY

General Provider Information

NPI Number	:	1992718951
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE ANNE DENNIS

Provider Business Mailing Address
First Line	:	2626 HALPERIN AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10461-2631
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2626 HALPERIN AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10461-2631
Country	:	US
Telephone Number	:	516-739-2100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2006
Last Update Date	:	06/28/2023

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Directions to “ CATHERINE ANNE DENNIS ” Practice Location

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