Individual
MS. MAGGIE BRENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED NCPSYA LP
Contact information
Practice address
90 RIVERSIDE DRIVE, 14F, NEW YORK, NY 10024-5322
(212) 580-0798
Mailing address
90 RIVERSIDE DRIVE, 14F, NEW YORK, NY 10024-5322
(212) 580-0798
Taxonomy
Speciality
Code
Description
License number
State
103TP0814X
Psychoanalysis Psychologist
Primary
000228
NY
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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