Individual
JENNIFER RENOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
3001 EXPRESS DR N, ISLANDIA, NY 11749-5301
(631) 292-6747
Mailing address
938 WASHINGTON ST, BALDWIN, NY 11510-4823
(516) 765-5136
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
F002113
NY
Other
Enumeration date
02/28/2022
Last updated
02/28/2022
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