Nicole Dennis, MD
Radiology, Diagnostic Radiology in Utica, NY. Individual provider (NPI-1).
NPI number1083175475
StatusActive
Last updated in NPPESAug 14, 2025
Details
- NPI
- 1083175475
- Entity type
- Individual (NPI-1)
- Name
- Nicole Dennis
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 27, 2019
- Certification date
- Aug 14, 2025
- Last updated
- Aug 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 338426 | NY | Yes |
| 2085R0202X | Radiology, Diagnostic Radiology | A176854 | CA | |
| 390200000X | Student in an Organized Health Care Education/Training Program | TL.0007572 | CO | |
| 390200000X | Student in an Organized Health Care Education/Training Program | 0116038848 | VA |
Practice location
111 Hospital DrUtica, NY 13502-2517
Phone 315-917-9966 · Fax 315-234-3998
Mailing address
111 Hospital DrUtica, NY 13502-2517
Phone 315-801-8534
Other practice locations
1960 N Ogden St Ste 400
Denver, CO 80218-3670
Denver, CO 80218-3670
Phone 303-318-1540
1200 N State St
Los Angeles, CA 90089-1001
Los Angeles, CA 90089-1001
Phone 323-409-7242
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