Organization
RENEWED LIFE MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN R HOODY (OWNER)
(929) 639-6119
Entity
Organization
Contact information
Practice address
3505 E TREMONT AVE, BRONX, NY 10465-2049
(917) 721-0405
Mailing address
3505 E TREMONT AVE, BRONX, NY 10465-2049
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/25/2024
Last updated
04/18/2025
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