| NPI | 1396599213 |
|---|---|
| Doing Business As | RENEW HEALTH MEDICAL WELLNESS |
| Entity Type | Organization |
| Authorized Contact | LUCY LIAO Nurse Practitioner 917-385-0812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2024-04-16 |
| Last Update Date | 2024-04-16 |