Individual
PETER M BRENNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
732 OLD COUNTRY RD, PLAINVIEW, NY 11803-4929
(516) 822-3911
(516) 674-3017
Mailing address
825 E GATE BLVD, STE 111, GARDEN CITY, NY 11530-2124
(516) 804-5200
(516) 240-6540
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
297179
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05424039
—
NY
Enumeration date
06/16/2010
Last updated
09/09/2019
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