KEITH DENIS


Address: 20822 15th Dr, Bayside, NY 11360-1135
Phone: 6313833137

KEITH DENIS (NPI# 1386014793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386014793
Entity Type Individual
Full Name KEITH DENIS
Credential PA-C
Practice Address 20822 15th Dr
Bayside
NY 11360-1135
Practice Telephone 6313833137
Mailing Telephone 6313833137
Enumeration Date 2015-09-28
Last Update Date 2015-09-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 20822 15TH DR
City BAYSIDE
State NY
Zip Code 11360-1135

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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

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Competitor

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City BAYSIDE
Zip Code 11360

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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