SearchNew York235Z00000X

John Derenzo, SLP

NPI 1528449501 · on the registry since 2015 · sole proprietor

Practice

Address
8902 155th Ave Apt 2r
Howard Beach, NY 11414
Phone
(917) 407-3789

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-06-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York