Provider Demographics
NPI:1780861658
Name:LAW OFFICE OF RENEEDUGENA
Entity Type:Organization
Organization Name:LAW OFFICE OF RENEEDUGENA
Other - Org Name:MULTI-SERVICES PROVIDER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHAIRMAN
Authorized Official - Prefix:MR
Authorized Official - First Name:RENATO
Authorized Official - Middle Name:RODRIGUEZ
Authorized Official - Last Name:DUGENA LLC
Authorized Official - Suffix:
Authorized Official - Credentials:LAWYER
Authorized Official - Phone:917-319-9009
Mailing Address - Street 1:8518 126ST. KEW GARDENS, QUEENS
Mailing Address - Street 2:
Mailing Address - City:KEW GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11415
Mailing Address - Country:US
Mailing Address - Phone:718-849-2077
Mailing Address - Fax:718-849-2077
Practice Address - Street 1:8518 126ST. KEW GARDENS, QUEENS
Practice Address - Street 2:
Practice Address - City:KEW GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11415
Practice Address - Country:US
Practice Address - Phone:718-849-2077
Practice Address - Fax:718-849-2077
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SAME AS ABOVE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-01-23
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLD250736474120302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization