Renaissance Heights Llc

NPI 1134567472 - Internal Medicine - 207R00000X

NPI Details
NPI 1134567472
Enumeration Date 06/10/2013
Last Updated 06/10/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name DOMINICK DOMINICK
Position OFFICER
Phone (212) 866-5461
Fax (212) 866-7706
Practice Location
411 W 113TH ST
NEW YORK NY, 10025-8074, US
Phone (212) 866-5461
Fax (212) 866-7706
Business Location
411 W 113TH ST
NEW YORK NY, 10025-8074, US
Phone (212) 866-5461
Fax (212) 866-7706
Toxanomy
Taxonomy Code 207R00000X
License State
License Number
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According to our database, Renaissance Heights Llc NPI is 1134567472, taxonomy code is 207R00000X Renaissance Heights Llc physically located at 411 W 113th St, New York NY, 10025-8074. NPI Number 1033115704 has the healthcare provider type.

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1134567472 NPI number is provided on an as is basis without warranty of any kind. 1134567472 is maintained by the National Plan & Provider Enumeration System. The contents of Renaissance Heights Llc are for informational purposes only.