Individual
DANIEL RENDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
1000 MONTAUK HWY, WEST ISLIP, NY 11795-4927
(631) 376-3000
Mailing address
833 BEACH ST, LINDENHURST, NY 11757-6223
(631) 332-1854
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F350499-01
NY
363LF0000X
Family Nurse Practitioner
Primary
F350499-01
NY
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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