Renzi, Eugene M

Renzi, Eugene M is an individual health care provider with primary practice located at 159 Mullin St , Watertown NY 13601-3615. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Renzi, Eugene M can be contacted via phone (315) 788-5265.

Contact Information

Primary practice address
159 Mullin St Watertown NY 13601-3615
Phone: (315) 788-5265
Fax: (315) 786-0973
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 081639 New York

Profile Details

NPI number 1972593424
LBN Legal business name Renzi, Eugene M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972593424 NPPES
New York Other 0200570 GHI
New York MEDICAID 00560045 GHI

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