| The Renaissance Project Inc. | |
|
350 North Ave New Rochelle NY 10801-4110 | |
| (914) 235-8048 | |
| (914) 712-3062 |
| Full Name | The Renaissance Project Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 350 North Ave, New Rochelle, New York |
| Authorized Official Name and Position | William Magwood (CEO PRESIDENT) |
| Authorized Official Contact | 9143451312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Renaissance Project Inc. 250 Clearbrook Rd Elmsford NY 10523-1315 Ph: (914) 345-1312 | The Renaissance Project Inc. 350 North Ave New Rochelle NY 10801-4110 Ph: (914) 235-8048 |
| NPI Number | 1417072893 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 09/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417072893 | NPI | - | NPPES |
| 01302538 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 110211069 (New York) | Primary |
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