# BRENNER CHIROPRACTIC PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174862338
- **Authorized official:** DR. RUSSELL BRENNER D.C. (CHIROPRACTOR)
- **Authorized official phone:** (516) 224-7579

## Contact information

- **Practice address:** 3351 PARK AVE, WANTAGH, NY 11793-3716
- **Practice address phone:** (516) 224-7579
- **Mailing address:** 3351 PARK AVE, WANTAGH, NY 11793-3716

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 012276-1 | NY | Yes |

## Other

- **Enumeration date:** 02/07/2013
- **Last updated:** 02/07/2013