# RENEE FAMILY AND PSYCHIATRIC NURSE PRACTITIONER PLLC

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

## Provider details

- **NPI number:** 1821661018
- **Authorized official:** RENEE DENOBREGA (OWNER)
- **Authorized official phone:** (484) 258-4513

## Contact information

- **Practice address:** 12 JEROME ST, BROOKLYN, NY 11207-2217
- **Practice address phone:** (484) 258-4513
- **Mailing address:** 12 JEROME ST, BROOKLYN, NY 11207-2217

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/23/2021
- **Last updated:** 07/23/2021