Individual
KENNY REN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
236 2ND AVE, NEW YORK, NY 10003-2704
(212) 683-8905
Mailing address
236 SECOND AVENUE, NEW YORK, NY 10003
(212) 683-8905
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/20/2012
Last updated
09/19/2012
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