Denise Marie Werenczak
Individual provider Active NPI Specialist · Frankfort, NY
NPI 1487024691 · NPPES record last updated Sep 30, 2015
Key facts
- NPI
- 1487024691
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 00137-1 (NY)
- Practice address
- 325 5TH Ave
Frankfort, NY 13340-3622 - Phone
- (315) 717-7442
- Fax
- (315) 895-0062
- NPI assigned
- Sep 30, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00137-1 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simply Special Early Learning Center LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 00137-1 | NY | Yes |
Addresses
Primary practice location
325 5TH Ave
Frankfort, NY 13340-3622
Mailing address
325 5TH Ave
Frankfort, NY 13340-3622
Phone (315) 717-7442
Other providers in Frankfort, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.