Organization
RENASCENT HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA MARIANNE ROGALSKI D.O. (OWNER)
(212) 289-5668
Entity
Organization
Contact information
Practice address
334 E 96TH ST, APT 6A, NEW YORK, NY 10128-3931
(212) 289-5668
(212) 289-5668
Mailing address
334 E 96TH ST, APT 6A, NEW YORK, NY 10128-3931
(212) 289-5668
(212) 289-5668
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
Other
Enumeration date
02/26/2016
Last updated
02/26/2016
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