Individual
KATHLEEN GENTRY BRENNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
321 W 90TH ST APT 2B, NEW YORK, NY 10024-1626
(212) 305-5827
Mailing address
321 W 90TH ST APT 2B, NEW YORK, NY 10024-1626
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
259498
NY
390200000X
Student in an Organized Health Care Education/Training Program
173822851
NY
Other
Enumeration date
04/27/2009
Last updated
01/02/2024
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