Renaissance Medical Care, P.C.
Family Medicine in East Meadow, NY. Organization (NPI-2).
NPI number1346775889
StatusActive
Last updated in NPPESJan 4, 2023
Details
- NPI
- 1346775889
- Entity type
- Organization (NPI-2)
- Legal business name
- Renaissance Medical Care, P.C.
- Organization subpart
- No
- Enumeration date
- Apr 21, 2017
- Certification date
- Jan 4, 2023
- Last updated
- Jan 4, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 236983 | NY | Yes |
Practice location
1704 Noble StEast Meadow, NY 11554-5007
Phone 516-862-0200
Mailing address
894 Bedford AveBrooklyn, NY 11205-3913
Phone 718-222-5999 · Fax 718-387-6429
Authorized official
Tanesha D Lawrence
Ceo
9173460543
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Other Family Medicine Physician providers in East Meadow, NY
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- Ramzi Farhat, DONPI 1225598733
- John Zaso DO PCNPI 1336726223
- Tanesha D Lawrence, MDNPI 1548330749
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All 20 Family Medicine Physician providers in East Meadow · All 2,160 providers in East Meadow
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