Organization
BRENNER CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL BRENNER D.C. (CHIROPRACTOR)
(516) 224-7579
Entity
Organization
Contact information
Practice address
3351 PARK AVE, WANTAGH, NY 11793-3716
(516) 224-7579
Mailing address
3351 PARK AVE, WANTAGH, NY 11793-3716
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
012276-1
NY
Other
Enumeration date
02/07/2013
Last updated
02/07/2013
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