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Individual

MARC A BRENNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1899 ROCKAWAY PARKWAY, BROOKLYN, NY 11236
(718) 251-1122
(718) 251-1856
Mailing address
1899 ROCKAWAY PARKWAY, BROOKLYN, NY 11236
(718) 251-1122
(718) 251-1856

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N003892
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01630675
NY
Enumeration date
09/02/2006
Last updated
10/11/2010
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