Provider Demographics
NPI:1598016115
Name:ERENIO, FRANCES (MS)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:
Last Name:ERENIO
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 ASH RD
Mailing Address - Street 2:
Mailing Address - City:BARDONIA
Mailing Address - State:NY
Mailing Address - Zip Code:10954-2120
Mailing Address - Country:US
Mailing Address - Phone:646-359-0128
Mailing Address - Fax:
Practice Address - Street 1:54 ASH RD
Practice Address - Street 2:
Practice Address - City:BARDONIA
Practice Address - State:NY
Practice Address - Zip Code:10954-2120
Practice Address - Country:US
Practice Address - Phone:646-359-0128
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-21
Last Update Date:2012-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1104371174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist