Dannenberg, Michael J

Dannenberg, Michael J is an individual health care provider with primary practice located at 177 Main Street , Huntington NY 11743-6951. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Dannenberg, Michael J can be contacted via phone (631) 421-4188.

Contact Information

Primary practice address
177 Main Street Huntington NY 11743-6951
Fax: (631) 421-4197
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 195567 New York

Profile Details

NPI number 1255347779
LBN Legal business name Dannenberg, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Aug 13th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255347779 NPPES
New York MEDICAID 00195567

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