Basic Information
Provider Information
NPI: 1982838199
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DENNIS
FirstName: ADONIA
MiddleName: H
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 41 E POST RD
Address2: HOSPITALIST DEPARTMENT
City: WHITE PLAINS
State: NY
PostalCode: 106014607
CountryCode: US
TelephoneNumber: 9146812504
FaxNumber: 9146812690
Practice Location
Address1: 41 E POST RD
Address2: HOSPITALIST DEPARTMENT
City: WHITE PLAINS
State: NY
PostalCode: 106014607
CountryCode: US
TelephoneNumber: 9146812504
FaxNumber: 9146812690
Other Information
ProviderEnumerationDate: 05/04/2009
LastUpdateDate: 06/18/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000X252630NYY Allopathic & Osteopathic PhysiciansPediatrics 

No ID Information.


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