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Organization
RENAISSANCE OB/GYN, P.C.
Active
Organization
RENAISSANCE OB/GYN, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PERICLES M SPYROPOULOS M.D. (PRESIDENT)
(718) 777-7236
Entity
Organization
Contact information
Practice address
2747 CRESCENT ST S, SUITE 104, ASTORIA, NY 11102-3142
(718) 626-0887
(718) 626-0888
Mailing address
27-47 CRESCENT ST, SUITE 104, ASTORIA, NY 11102
(718) 626-0887
(718) 626-0888
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
193132
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01467032
—
NY
Enumeration date
02/05/2008
Last updated
02/05/2008
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