Individual
MRS. LINDA RENAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9777 QUEENS BLVD PH, REGO PARK, NY 11374-3300
(347) 765-0697
(718) 228-4434
Mailing address
1038 E 82ND ST, BROOKLYN, NY 11236-4224
(347) 765-0697
(718) 228-4434
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
14482
NY
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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