Organization
RENAISSANCE HEAITH CARE
Active
Other names
sydenham nfcc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOON WOONG LEE 04,25,1945 (SENIOR R.PHARMACIST)
(212) 932-6588
Entity
Organization
Contact information
Practice address
215 W 125TH ST, 215 W 125 ST. N.Y N.Y. 10027, NEW YORK, NY 10027-4426
(212) 932-6588
(212) 662-2011
Mailing address
215 W 125TH ST, 215 W 125 ST. N.Y N.Y. 10027, NEW YORK, NY 10027-4426
(212) 932-6588
(212) 662-2011
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
022395
NY
Other
Enumeration date
01/05/2007
Last updated
08/22/2020
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