Provider Demographics
NPI:1144858283
Name:MAID, DENNIS ROBERT (BSRC, RRT)
Entity type:Individual
Prefix:
First Name:DENNIS
Middle Name:ROBERT
Last Name:MAID
Suffix:
Gender:M
Credentials:BSRC, RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7586 CASWELL RD
Mailing Address - Street 2:
Mailing Address - City:BYRON
Mailing Address - State:NY
Mailing Address - Zip Code:14422-9722
Mailing Address - Country:US
Mailing Address - Phone:585-771-0642
Mailing Address - Fax:
Practice Address - Street 1:7586 CASWELL RD
Practice Address - Street 2:
Practice Address - City:BYRON
Practice Address - State:NY
Practice Address - Zip Code:14422-9722
Practice Address - Country:US
Practice Address - Phone:585-771-0642
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-01
Last Update Date:2020-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified