Individual
LIRON HEN BRENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
32 WASHINGTON ST, TENAFLY, NJ 07670-3216
(646) 322-2429
Mailing address
75 SUSAN DR, CLOSTER, NJ 07624-2314
(646) 322-2429
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25MZ00117800
NJ
Other
Enumeration date
05/23/2016
Last updated
05/23/2016
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