Organization
RENAISSANCE PROJECT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN MARIA BYRNES LMSW (SOCIAL WORKER)
(914) 939-2700
Entity
Organization
Contact information
Practice address
132 PEARL ST, PORT CHESTER, NY 10573-7614
(914) 939-2700
(914) 939-5352
Mailing address
132 PEARL ST, PORT CHESTER, NY 10573-7614
(914) 939-2700
(914) 939-5352
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
077918
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01302538
—
NY
Enumeration date
01/22/2010
Last updated
01/22/2010
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