Provider Demographics
NPI:1649022914
Name:DENNISON, CHRISTOPHER (MA, MT-BC, LCAT)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:DENNISON
Suffix:
Gender:M
Credentials:MA, MT-BC, LCAT
Other - Prefix:
Other - First Name:C
Other - Middle Name:R
Other - Last Name:DENNISON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, MT-BC, LCAT
Mailing Address - Street 1:1265 FRANKLIN AVE FL 8
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10456-3501
Mailing Address - Country:US
Mailing Address - Phone:718-466-6081
Mailing Address - Fax:
Practice Address - Street 1:1265 FRANKLIN AVE FL 8
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10456-3501
Practice Address - Country:US
Practice Address - Phone:718-466-6081
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-02
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002760225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist