Individual
DR. MARC ALAN BRENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
7309 MYRTLE AVE, GLENDALE, NY 11385-7431
(718) 456-7270
(718) 456-1874
Mailing address
7309 MYRTLE AVE, GLENDALE, NY 11385-7431
(718) 456-7270
(718) 456-1874
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N002371-1
NY
Other
Enumeration date
10/25/2006
Last updated
01/13/2012
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