Organization
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION
Active
Other names
Renaissance Diagnostic & Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
MIN THAN (SR. DIRECTOR)
(212) 442-3854
Entity
Organization
Contact information
Practice address
264 W 118TH ST, NEW YORK, NY 10026-1620
(212) 939-2304
Mailing address
160 WATER ST FL 13, NEW YORK, NY 10038-4922
(212) 442-3854
(212) 442-3870
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
3336I0012X
Institutional Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01210402
—
NY
Enumeration date
08/04/2006
Last updated
04/01/2025
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