Provider Demographics
NPI:1851463897
Name:FRENZ, ARTHUR WILLIAM (PHD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:WILLIAM
Last Name:FRENZ
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 FRONT ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:VESTAL
Mailing Address - State:NY
Mailing Address - Zip Code:13850-1562
Mailing Address - Country:US
Mailing Address - Phone:607-741-1212
Mailing Address - Fax:607-741-1213
Practice Address - Street 1:130 FRONT ST
Practice Address - Street 2:SUITE 1
Practice Address - City:VESTAL
Practice Address - State:NY
Practice Address - Zip Code:13850-1562
Practice Address - Country:US
Practice Address - Phone:607-741-1212
Practice Address - Fax:607-741-1213
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2016-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010967103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01503584Medicaid
NY01503584Medicaid