Provider Demographics
NPI:1467538355
Name:PASTENA, DENNIS ANTHONY (MD)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:ANTHONY
Last Name:PASTENA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 MILLER RD LOWR LEVEL
Mailing Address - Street 2:
Mailing Address - City:MAHOPAC
Mailing Address - State:NY
Mailing Address - Zip Code:10541-2227
Mailing Address - Country:US
Mailing Address - Phone:914-907-3868
Mailing Address - Fax:845-628-9581
Practice Address - Street 1:7 MILLER RD LOWR LEVEL
Practice Address - Street 2:
Practice Address - City:MAHOPAC
Practice Address - State:NY
Practice Address - Zip Code:10541-2227
Practice Address - Country:US
Practice Address - Phone:914-907-3868
Practice Address - Fax:845-628-9581
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2024-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY121096208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY121096-2BOtherWORKER'S COMP
NYA400002402Medicare PIN
NYB13515Medicare UPIN