Provider First Line Business Practice Location Address:
RENAISSANCE HEALTH CARE NETWORK
Provider Second Line Business Practice Location Address:
215 W. 125TH ST.
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10027
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-932-6525
Provider Business Practice Location Address Fax Number:
212-865-3581
Provider Enumeration Date:
12/05/2006