Healthcare Provider Details

I. General information

NPI: 1245192293
Provider Name (Legal Business Name): RENZY M. MANY MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2025
Last Update Date: 11/28/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90-09 ROCKAWAY BEACH BLVD.
ROCKAWAY BEACH NY
11693
US

IV. Provider business mailing address

90-09 ROCKAWAY BEACH BLVD.
ROCKAWAY BEACH NY
11693
US

V. Phone/Fax

Practice location:
  • Phone: 718-360-5878
  • Fax: 718-750-5005
Mailing address:
  • Phone: 718-360-5878
  • Fax: 718-750-5005

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RENZY M. MANY
Title or Position: OWNER
Credential: M.D.
Phone: 718-570-5804