Organization
RENAISSANCE HEALTH CARE NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARTURO CAESAR M.D. (ASSOC MED DIRECTOR)
(212) 932-6500
Entity
Organization
Contact information
Practice address
215 W 125TH ST, NEW YORK, NY 10027-4426
(212) 932-6500
(212) 316-1479
Mailing address
215 W 125TH ST, NEW YORK, NY 10027-4426
(212) 932-6500
(212) 316-1479
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
112967
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00204715
—
NY
Enumeration date
12/12/2006
Last updated
08/22/2020
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