Provider Demographics
NPI:1407061328
Name:GORENFLO, RENATE KUROSKI (FNP-C)
Entity Type:Individual
Prefix:MS
First Name:RENATE
Middle Name:KUROSKI
Last Name:GORENFLO
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 BURROUGHS DR
Mailing Address - Street 2:
Mailing Address - City:SNYDER
Mailing Address - State:NY
Mailing Address - Zip Code:14226-3901
Mailing Address - Country:US
Mailing Address - Phone:716-891-2794
Mailing Address - Fax:716-891-2675
Practice Address - Street 1:58 BURROUGHS DR
Practice Address - Street 2:
Practice Address - City:SNYDER
Practice Address - State:NY
Practice Address - Zip Code:14226-3901
Practice Address - Country:US
Practice Address - Phone:716-891-2794
Practice Address - Fax:716-891-2675
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2013-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY332802363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily