Organization · Type 2 NPI
Renaissance Ob/gyn, P.c.
Specialist · Astoria, NY
NPI number
1487832275
Active
Practice location
2747 Crescent St S, Suite 104
Astoria, NY 11102-3142
Fax (718) 626-0888
Mailing address
27-47 Crescent St, Suite 104
Astoria, NY 11102
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 193132 (NY) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1487832275
Renaissance Ob/gyn, P.c.'s National Provider Identifier is 1487832275, issued on Feb 5, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Astoria, NY. The record was last updated on Feb 5, 2008.