# RENASCENT HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174983647
- **Authorized official:** MONICA MARIANNE ROGALSKI D.O. (OWNER)
- **Authorized official phone:** (212) 289-5668

## Contact information

- **Practice address:** 334 E 96TH ST, APT 6A, NEW YORK, NY 10128-3931
- **Practice address phone:** (212) 289-5668
- **Practice address fax:** (212) 289-5668
- **Mailing address:** 334 E 96TH ST, APT 6A, NEW YORK, NY 10128-3931
- **Mailing address phone:** (212) 289-5668
- **Mailing address fax:** (212) 289-5668

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | — | — |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | — | Yes |
| 207Q00000X | Family Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 02/26/2016
- **Last updated:** 02/26/2016