Provider Demographics
NPI:1356858427
Name:KLOPFANSTEIN, DENISE (MSED)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:
Last Name:KLOPFANSTEIN
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3899 ONEIDA ST
Mailing Address - Street 2:
Mailing Address - City:NEW HARTFORD
Mailing Address - State:NY
Mailing Address - Zip Code:13413-9707
Mailing Address - Country:US
Mailing Address - Phone:315-927-3231
Mailing Address - Fax:
Practice Address - Street 1:7712 E CARTER RD
Practice Address - Street 2:
Practice Address - City:WESTMORELAND
Practice Address - State:NY
Practice Address - Zip Code:13490-1500
Practice Address - Country:US
Practice Address - Phone:315-796-7795
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist