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Organization
RENAISSANCE FAMILY CARE
Active
Organization
RENAISSANCE FAMILY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANESHA LAWRENCE MD (OWNER)
(917) 346-0543
Entity
Organization
Contact information
Practice address
1704 NOBLE ST, EAST MEADOW, NY 11554-5007
(516) 862-0200
(718) 387-6429
Mailing address
1704 NOBLE ST, EAST MEADOW, NY 11554-5007
(516) 862-0200
(718) 387-6429
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
236983
NY
Other
Enumeration date
02/22/2010
Last updated
12/27/2022
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