Organization
MS BRENNER CLIN PSYCH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCIA BRENNER EDD (SECTY TREASURER)
(212) 873-6881
Entity
Organization
Contact information
Practice address
255 W 88 ST, NEW YORK, NY 10024
(212) 873-9440
(212) 877-9709
Mailing address
255 W 88 ST, NEW YORK, NY 10024
(212) 873-9440
(212) 877-9709
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
01/08/2007
Last updated
08/22/2020
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