Individual
DR. MARCIA BRENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDD
Contact information
Practice address
255 WEST 88 STREET, NEW YORK, NY 10024
(212) 873-6881
(212) 877-9709
Mailing address
255 WEST 88 STREET, NEW YORK, NY 10024
(212) 873-6881
(212) 877-9709
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
NYS PSY003626
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0099553
GHI
—
01
—
144745
VALVE OPTIONS
—
Enumeration date
01/08/2007
Last updated
07/08/2007
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