Healthcare Provider Details
I. General information
NPI: 1679187025
Provider Name (Legal Business Name): THE RENEWAL ROOM NP FAMILY HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/03/2020
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
145 PALISADE ST STE 200
DOBBS FERRY NY
10522-1627
US
IV. Provider business mailing address
233 ASHFORD AVE
DOBBS FERRY NY
10522-1908
US
V. Phone/Fax
- Phone: 914-257-3582
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2300X |
| Taxonomy | Primary Care Clinic/Center |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name: DR.
YASMINDA
DOWNER-MUSE
Title or Position: NURSE PRACTITIONER
Credential:
Phone: 646-372-7256