| Renaissance General Medicine Pc | |
|
596 Anderson Ave Suite 302 Cliffside Park NJ 07010-1831 | |
| (201) 943-2700 | |
| (201) 943-2646 |
| Full Name | Renaissance General Medicine Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 596 Anderson Ave, Cliffside Park, New Jersey |
| Authorized Official Name and Position | Alexander Korenfeld (PRESIDENT) |
| Authorized Official Contact | 2019432700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renaissance General Medicine Pc 596 Anderson Ave Suite 302 Cliffside Park NJ 07010-1831 Ph: (201) 943-2700 | Renaissance General Medicine Pc 596 Anderson Ave Suite 302 Cliffside Park NJ 07010-1831 Ph: (201) 943-2700 |
| NPI Number | 1063624294 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7012081904 |
|---|---|
| Medicare Enrollment ID | O20080812000099 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063624294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 63357 (New Jersey) | Primary |
| Provider Name | Yelena Korenfeld |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720094576 PECOS PAC ID: 7618902883 Enrollment ID: I20050927001336 |
| Provider Name | Alexander Korenfeld |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063428803 PECOS PAC ID: 6901831007 Enrollment ID: I20050928000017 |
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