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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RENEWED LIFE MEDICAL LLC

Active Organization

RENEWED LIFE MEDICAL LLC is a Nurse Practitioner organization located in BRONX, New York. NPI 1790520500 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · BRONX, NY

Registration Details

NPI Number
1790520500
Provider Type
Organization
NPI Issued
Jun 25, 2024 (2.1795567870623 yrs)
Last Updated
Apr 18, 2025

Practice Information

Address
3505 E TREMONT AVE
BRONX, NY, 104652049
Browse NY providers · Browse ZIP 10465
Phone
9177210405
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Multi-Specialty Clinic
Additional Specialty
Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.