Individual
DR. DIANE M RENZULLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
6298 WOODHAVEN BLVD, REGO PARK, NY 11374-3738
(718) 803-2300
(718) 565-2875
Mailing address
6298 WOODHAVEN BLVD, REGO PARK, NY 11374-3738
(718) 803-2300
(718) 565-2875
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X004316-1
NY
Other
Enumeration date
09/25/2008
Last updated
11/20/2008
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