Provider Demographics
NPI:1740653625
Name:DENNIS, ABIGAIL B
Entity type:Individual
Prefix:MS
First Name:ABIGAIL
Middle Name:B
Last Name:DENNIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 PARK PL
Mailing Address - Street 2:2E
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-4316
Mailing Address - Country:US
Mailing Address - Phone:718-619-6245
Mailing Address - Fax:
Practice Address - Street 1:207 PARK PL
Practice Address - Street 2:2E
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238-4316
Practice Address - Country:US
Practice Address - Phone:718-619-6245
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-02
Last Update Date:2015-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management