Provider Demographics
NPI:1679187025
Name:THE RENEWAL ROOM NP FAMILY HEALTH PLLC
Entity type:Organization
Organization Name:THE RENEWAL ROOM NP FAMILY HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:YASMINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:DOWNER-MUSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-372-7256
Mailing Address - Street 1:233 ASHFORD AVE
Mailing Address - Street 2:
Mailing Address - City:DOBBS FERRY
Mailing Address - State:NY
Mailing Address - Zip Code:10522-1908
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:145 PALISADE ST STE 200
Practice Address - Street 2:
Practice Address - City:DOBBS FERRY
Practice Address - State:NY
Practice Address - Zip Code:10522-1627
Practice Address - Country:US
Practice Address - Phone:914-727-2953
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-03
Last Update Date:2020-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care