Healthcare Provider Details

I. General information

NPI: 1750206629
Provider Name (Legal Business Name): RENEE ANN PEARCE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

162 MAIN ST
GOSHEN NY
10924-2116
US

IV. Provider business mailing address

60 BIRCHWOOD DR
HIGHLAND MILLS NY
10930-2937
US

V. Phone/Fax

Practice location:
  • Phone: 845-651-2535
  • Fax:
Mailing address:
  • Phone: 845-651-2535
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: