Provider Demographics
NPI:1144663667
Name:DENGENIS, RHYNE CHAMP (DO)
Entity type:Individual
Prefix:DR
First Name:RHYNE
Middle Name:CHAMP
Last Name:DENGENIS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:5500 MERRICK RD
Mailing Address - Street 2:
Mailing Address - City:MASSAPEQUA
Mailing Address - State:NY
Mailing Address - Zip Code:11758-6231
Mailing Address - Country:US
Mailing Address - Phone:516-795-3033
Mailing Address - Fax:516-795-3036
Practice Address - Street 1:5500 MERRICK RD
Practice Address - Street 2:
Practice Address - City:MASSAPEQUA
Practice Address - State:NY
Practice Address - Zip Code:11758
Practice Address - Country:US
Practice Address - Phone:516-795-3033
Practice Address - Fax:516-795-3036
Is Sole Proprietor?:No
Enumeration Date:2013-04-15
Last Update Date:2018-08-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY278913207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery