| Doctor Name: | DR. STEPHEN MARK RENZIN |
| NPI Number: | 1316029671 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 117223 |
| Business Practice Address: | 2071 Boston Post Rd Larchmont, NY - 105383701 |
| Business Phone Number: | 9148331000 |
| Business Fax Number: | 9148334226 |
| Mailing Address: | 2071 Boston Post Rd, LARCHMONT |
| State: | NY |
| Postal Code: | 105383701 |
| Phone Number: | 9148331000 |
| Fax Number: | 9148334226 |
| NPI Enumeration Date: | 10/19/2006 |
| NPI Last Update Date: | 04/28/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | 117223 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |