Provider Demographics
NPI:1316431125
Name:RATTENNI, DENISE
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:
Last Name:RATTENNI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 CURRY RD
Mailing Address - Street 2:
Mailing Address - City:HASTINGS ON HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:10706-4019
Mailing Address - Country:US
Mailing Address - Phone:913-434-8421
Mailing Address - Fax:
Practice Address - Street 1:16 CURRY RD
Practice Address - Street 2:
Practice Address - City:HASTINGS ON HUDSON
Practice Address - State:NY
Practice Address - Zip Code:10706-4019
Practice Address - Country:US
Practice Address - Phone:191-443-4842
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-15
Last Update Date:2018-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist