Dr. Mary Ellen Renna
M.D. | Pediatric Adolescent Medicine | Female
Dr. Mary Ellen Renna, M.D. is a Woodbury, New York based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Dr. Mary Ellen Renna is
40 Crossways Park Dr, Woodbury, New York - 11797-2036. She can be contacted on phone at
516-677-9628 and fax number 516-677-9623.
Dr. Mary Ellen Renna is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Mary Ellen Renna is
1336111780 which was assigned by NPPES on 01 Feb, 2006 and it was last updated on 08 Jul, 2007.
Dr. Mary Ellen Renna license number is
171285 for Pediatrics Adolescent Medicine (2080A0000X) in New York.
Dr. Mary Ellen Renna 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.
Complete Profile:
Dr. Mary Ellen Renna basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Dr. Mary Ellen Renna |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Dr. Mary Ellen Renna address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 40 Crossways Park Dr
Woodbury, NY, 11797-2036
United States |
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| Phone Number : | 516-677-9628 |
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| Fax Number : | 516-677-9623 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1336111780 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 01 Feb, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Mary Ellen Renna are as mentioned. Primary taxonomy code for Dr. Mary Ellen Renna, M.D. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 171285 | NY |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 40 Crossways Park Dr
Woodbury, NY, 11797-2036
United States |
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| Phone Number : | 516-677-9628 |
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| Fax Number : | 516-677-9623 |
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Business Location:
Patients can refer following map for directions to
Dr. Mary Ellen Renna practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.