Doctor Name: | MS. RENATE KUROSKI GORENFLO |
NPI Number: | 1407061328 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C |
License Number: | 332802 |
Business Practice Address: | 58 Burroughs Dr Snyder, NY - 142263901 |
Business Phone Number: | 7168912794 |
Business Fax Number: | 7168912675 |
Mailing Address: | 58 Burroughs Dr, SNYDER |
State: | NY |
Postal Code: | 142263901 |
Phone Number: | 7168912794 |
Fax Number: | 7168912675 |
NPI Enumeration Date: | 05/14/2007 |
NPI Last Update Date: | 06/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 332802 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |