Basic Information
| Provider Information | |||||||||
| NPI: | 1730475518 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MAY | ||||||||
| FirstName: | DENNIS | ||||||||
| MiddleName: | LEE | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 61 MONROE AVE | ||||||||
| Address2: | STE B | ||||||||
| City: | PITTSFORD | ||||||||
| State: | NY | ||||||||
| PostalCode: | 145341311 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5855865166 | ||||||||
| FaxNumber: | 5855861370 | ||||||||
| Practice Location | |||||||||
| Address1: | 61 MONROE AVE | ||||||||
| Address2: | STE B | ||||||||
| City: | PITTSFORD | ||||||||
| State: | NY | ||||||||
| PostalCode: | 145341311 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5855865166 | ||||||||
| FaxNumber: | 5855861370 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/21/2011 | ||||||||
| LastUpdateDate: | 06/21/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207ND0900X | 186186-1 | NY | Y | Allopathic & Osteopathic Physicians | Dermatology | Dermatopathology |
No ID Information.