Individual
DR. DAVID E BRENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1165 NORTHERN BLVD, SUITE 300, MANHASSET, NY 11030-3039
(516) 608-6820
(516) 608-6821
Mailing address
1165 NORTHERN BLVD, SUITE 300, MANHASSET, NY 11030-3039
(516) 608-6820
(516) 608-6821
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
201959
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00058714
RAILROAD MEDICARE
NY
Enumeration date
07/15/2005
Last updated
05/08/2013
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