Renaissance Family Care

NPI 1184946899 - Family Medicine - 207Q00000X

NPI Details
NPI 1184946899
Enumeration Date 02/22/2010
Last Updated 08/23/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name TANESHA TANESHA
Position OWNER
Phone (270) 991-7751
Fax (270) 751-0405
Practice Location
213 EASTERN PKWY # 215
BROOKLYN NY, 11238-6127, US
Phone (270) 991-7751
Fax (270) 751-0405
Business Location
213 EASTERN PKWY # 215
BROOKLYN NY, 11238-6127, US
Phone
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State New York
License Number 236983
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According to our database, Renaissance Family Care NPI is 1184946899, taxonomy code is 207Q00000X and license number is 236983, license state is located at New York. Renaissance Family Care physically located at 213 Eastern Pkwy # 215, Brooklyn NY, 11238-6127. NPI Number 1033115704 has the healthcare provider type.

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1184946899 NPI number is provided on an as is basis without warranty of any kind. 1184946899 is maintained by the National Plan & Provider Enumeration System. The contents of Renaissance Family Care are for informational purposes only.