Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Michelle A. Renzi, RPA-C

Individual provider Physician Assistant · NPI 1174726228

MS. Michelle A. Renzi, RPA-C is a Physician Assistant in Valley Stream, New York. Qualified in 2006, 20 years ago. Practices with Atlantic Dermatologic Associates, LLP, a 10-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
20
Licensed in
NY
In the registry since
2007
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Practice location Address checks out

30 S Central Ave Ste 201
Valley Stream, NY 11580-5437
Phone: (516) 791-8664
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 105 E 37th St, New York, NY 10016-3037 — (212) 725-4555

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 011114 (NY)

Record details

NPI number1174726228
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPA-C
Sole proprietorNo
NPI enumeratedJune 7, 2007
Last updated in NPPESJanuary 13, 2020
Certification dateJanuary 13, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Atlantic Dermatologic Associates, Llp — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Valley Stream