Individual
GRANT H BRENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
841 BROADWAY, STE. 302, NEW YORK, NY 10003-4704
(212) 673-2099
Mailing address
39 W. 14TH ST., SUITE 506, NEW YORK, NY 10011-7489
(212) 673-2099
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
212825
NY
Other
Enumeration date
03/25/2007
Last updated
06/12/2012
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