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Organization

RENEW MEDICAL COMMUNITY CARE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH WIESENFELD (PRACTICE ADMINISTRATOR)
(718) 408-8860
Entity
Organization

Contact information

Practice address
7202 FORT HAMILTON PKWY, BROOKLYN, NY 11228-1906
(929) 491-7700
Mailing address
1481 MCDONALD AVE, BROOKLYN, NY 11230-4667

Taxonomy

Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
207R00000X
Internal Medicine Physician
213E00000X
Podiatrist
Primary

Other

Enumeration date
09/11/2023
Last updated
09/11/2023
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