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Organization
MARC A. BRENNER, D.P.M., PLLC
Active
Organization
MARC A. BRENNER, D.P.M., PLLC
Active
Other names
Marc Alan brenner D.P.M., PC
Organization subpart
No
Provider details
NPI number
Authorized official
SHARESE WELCH (CREDENTIALING SPECIALIST)
(718) 573-1123
Entity
Organization
Contact information
Practice address
2001 MARCUS AVENUE, LAKE SUCCESS, NY 11042
(516) 355-2277
(516) 626-9243
Mailing address
83 WHEATLEY RD, OLD WESTBURY, NY 11568-1210
(516) 355-2277
(516) 626-9243
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N002371-1
NY
Other
Enumeration date
12/27/2011
Last updated
01/03/2019
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