Organization
DARA BRENER, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARA GAIL BRENER M.D. (M.D., CEO)
(631) 680-1142
Entity
Organization
Contact information
Practice address
701 ROUTE 25A, SUITE B1, MOUNT SINAI, NY 11766-2050
(631) 331-4403
(631) 331-1932
Mailing address
701 ROUTE 25A, SUITE B1, MOUNT SINAI, NY 11766-2050
(631) 331-4403
(631) 331-1932
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
236587
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
236587
LICENSE
NY
Enumeration date
10/09/2011
Last updated
10/09/2011
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