Mary Ellen Renna in Woodbury - Adolescent Medicine
Mary Ellen Renna - NPI 1336111780
Mary Ellen Renna is a Adolescent Medicine in Woodbury, New York. Mary Ellen Renna practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Mary Ellen Renna is 1336111780. The last update date is 2007-07-08.
Mary Ellen Renna's current location address is 40 Crossways Park Dr, Woodbury, New York. You can contact this provider via phone number 5166779628 and fax number 5166779623. The mailing address for Mary Ellen Renna is 40 Crossways Park Dr, Woodbury, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Ellen Renna |
|---|---|
| Address | 40 Crossways Park Dr, Woodbury, New York |
| Phone Number | 5166779628 |
| Fax Number | 5166779623 |
| Sole Proprietor | X |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1336111780 |
|---|---|
| Provider Enumeration Date | 2006-02-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 40 Crossways Park Dr |
|---|---|
| City | Woodbury |
| State | New York (NY) |
| Post Code | 117972036 |
| Phone Number | 5166779628 |
| Fax Number | 5166779623 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | 171285 |
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Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Mary Ellen Renna by the Centers for Medicare & Medicaid Services?
The Mary Ellen Renna has been assigned the NPI (National Provider Identifier) 1336111780 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Mary Ellen Renna's facilities are geographically located?
The facilities of Mary Ellen Renna are physically situated at the following location: 40 Crossways Park Dr, Woodbury, NY, 117972036.
What is the area of specialization for Mary Ellen Renna, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mary Ellen Renna is Adolescent Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 2080A0000X.
On what date did Mary Ellen Renna receive its 1336111780 assignment from the Centers for Medicare & Medicaid Services?
The Mary Ellen Renna was assigned its 1336111780 on 2006-02-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Mary Ellen Renna's details last updated?
The information pertaining to the Mary Ellen Renna, including its address, specialty, and other details, was most recently updated on 2007-07-08.