| Renaissance Project | |
|
132 Pearl St Port Chester NY 10573-7614 | |
| (914) 939-2700 | |
| (914) 939-5352 |
| Full Name | Renaissance Project |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 132 Pearl St, Port Chester, New York |
| Authorized Official Name and Position | Susan Maria Byrnes (SOCIAL WORKER) |
| Authorized Official Contact | 9149392700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renaissance Project 132 Pearl St Port Chester NY 10573-7614 Ph: (914) 939-2700 | Renaissance Project 132 Pearl St Port Chester NY 10573-7614 Ph: (914) 939-2700 |
| NPI Number | 1144551680 |
|---|---|
| Provider Enumeration Date | 01/22/2010 |
| Last Update Date | 01/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144551680 | NPI | - | NPPES |
| 01302538 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 077918 (New York) | Primary |
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