Individual
DR. FRANK DERIENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
123 RIVER DRIVE, JERSEY CITY, NJ 07310-1615
(201) 222-3937
(201) 798-6021
Mailing address
123 RIVER DRIVE, JERSEY CITY, NJ 07310-1615
(201) 222-3937
(201) 798-6021
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
TUV004989
NY
152WX0102X
Occupational Vision Optometrist
Primary
27OA000470600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04001052
—
NY
Enumeration date
05/12/2006
Last updated
04/19/2019
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