Organization
PROJECT RENEWAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN JONES (CHIEF FINANCIAL AND ADMINISTRATIVE)
(212) 620-0340
Entity
Organization
Contact information
Practice address
8 EAST THIRD STREET, NEW YORK, NY 10003-4810
(212) 620-0340
(212) 633-1410
Mailing address
200 VARICK ST, NEW YORK, NY 10014-4810
(212) 620-0340
(212) 633-1410
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QR0207X
Mobile Mammography Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
331102
MEDICARE
NY
01
—
331103
MEDICARE
NY
01
—
571815
MEDICARE PIN
NY
Enumeration date
07/31/2006
Last updated
02/24/2022
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