Individual
DR. BRENA MANISH DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15715 46TH AVE, FLUSHING, NY 11355-2353
(718) 445-3029
(718) 445-2889
Mailing address
15715 46TH AVE, FLUSHING, NY 11355-2353
(718) 445-3029
(718) 445-2889
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
225205
NY
208000000X
Pediatrics Physician
Primary
225205
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02286208
—
NY
Enumeration date
05/17/2006
Last updated
02/14/2019
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