Individual
MR. BRENNEN BALISI-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
110 E 60TH ST RM 808, NEW YORK, NY 10022-1865
(212) 473-7888
Mailing address
110 E 60TH ST RM 808, NEW YORK, NY 10022-1865
(212) 473-7888
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
785227
NY
Other
Enumeration date
05/29/2026
Last updated
05/29/2026
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