Provider Demographics
NPI:1215236187
Name:DENNIS-NFOR, BIJOU M (DPM)
Entity type:Individual
Prefix:DR
First Name:BIJOU
Middle Name:M
Last Name:DENNIS-NFOR
Suffix:
Gender:
Credentials:DPM
Other - Prefix:
Other - First Name:MAMA
Other - Middle Name:
Other - Last Name:DENNIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPM
Mailing Address - Street 1:681 VIEWLAND DR
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-3723
Mailing Address - Country:US
Mailing Address - Phone:917-292-2983
Mailing Address - Fax:
Practice Address - Street 1:2 GRAMATAN AVE STE 203
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10550-3217
Practice Address - Country:US
Practice Address - Phone:914-230-0603
Practice Address - Fax:914-594-5910
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-17
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006418213ES0103X
NY65006418213ES0103X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04351057Medicaid