Provider Demographics
NPI:1699078667
Name:RENWICK, NEIL (MD, PHD, FCAP)
Entity type:Individual
Prefix:DR
First Name:NEIL
Middle Name:
Last Name:RENWICK
Suffix:
Gender:M
Credentials:MD, PHD, FCAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 EAST 53RD ST
Mailing Address - Street 2:APT 10A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-7949
Mailing Address - Country:US
Mailing Address - Phone:212-319-3079
Mailing Address - Fax:
Practice Address - Street 1:500 EAST 53RD STREET
Practice Address - Street 2:APT 10A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-7949
Practice Address - Country:US
Practice Address - Phone:212-319-3079
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-14
Last Update Date:2010-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY257877207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology