Organization
HAMPTON ORTHOPEDIC AND SPORTS MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN J BRENNAN MD (OFFICE SUPERVISOR)
(631) 287-9477
Entity
Organization
Contact information
Practice address
504B MONTAUK HWY, CENTER MORICHES, NY 11934
(631) 287-9477
(631) 287-9751
Mailing address
325 MEETING HOUSE LANE BLDG 2, SUITE 301, SOUTH HAMPTON, NY 11968
(631) 287-9477
(631) 287-9751
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
2113301
NY
174400000X
Specialist
2113302
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2113301
SOUTH HAMPTON
NY
01
—
2113302
CENTER PROVIDER
NY
Enumeration date
07/29/2006
Last updated
09/11/2025
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