Individual
DR. FRANK DERIENZO
Active
Individual
DR. FRANK DERIENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
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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