Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 268091 | NY |
Y | 111NI0900X | Internist | 268091 | NY |
N | 207RH0002X | Hospice and Palliative Medicine | 268091 | NY |
NPI | 1285959668 |
---|---|
Provider Name | Carly Dennis |
First Address | Rochester, NY 14642-0001 |
Second Address | Rochester, NY 14618-2668 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2010 |
Last Update Date | 30/06/2014 |