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Individual
ANNE E BRENA
Active
Individual
ANNE E BRENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042.0012529
VT
207R00000X
Internal Medicine Physician
223593
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000499880001
BS OF NENY LEGACY
NY
05
—
002242639
—
NY
01
—
116300
MVP LEGACY
NY
01
—
7797529
AETNA LEGACY
NY
01
—
P010223593
EXCELLUS LEGACY
NY
01
—
P52210
EMPIRE BC/BS LEGACY
NY
Enumeration date
10/04/2006
Last updated
10/16/2012
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