Jennifer Rose Gorenfeld, PT
Individual provider Active NPI Early Intervention Provider Agency · Katonah, NY
NPI 1659517316 · NPPES record last updated Apr 21, 2015
Key facts
- NPI
- 1659517316
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Early Intervention Provider Agency 252Y00000X
- License
- PT024991 (NY)
- Practice address
- 29 Wildwood Rd
Katonah, NY 10536-1708 - Phone
- (917) 576-0376
- NPI assigned
- Dec 31, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| PT024991 | NY | MD | Early Intervention Provider Agency |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | PT024991 | NY | Yes |
Addresses
Primary practice location
29 Wildwood Rd
Katonah, NY 10536-1708
Mailing address
29 Wildwood Rd
Katonah, NY 10536-1708
Phone (917) 576-0376
Other providers in Katonah, NY
- Goldens Bridge Family Dentistry PLLC
- Goldens Bridge Pediatrics, PC
- Debbie Golub
- Julia Gonfiantini
- Steven Gordon
- Scott Gottesfeld
- Barbara Rose Greenberg
- Wanda A. Grochowski
- Kathy L. Grummon
- Sofia Grace Gruppuso
All providers in Katonah, NY · Early Intervention Provider Agency in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 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.