Individual
DR. DEBRA J BRENNESSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8268 164TH ST, JAMAICA, NY 11432-1121
(718) 883-4847
(718) 883-6197
Mailing address
5 BIRCHELL LN, GLEN HEAD, NY 11545-2214
(516) 674-3218
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
144468
NY
207RI0200X
Infectious Disease Physician
144468
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01089005
—
NY
Enumeration date
08/25/2006
Last updated
03/07/2023
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