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Organization

MARC A. BRENNER, D.P.M., PLLC

Active
Other names
Marc Alan brenner D.P.M., PC
Organization subpart
No

Provider details

NPI number
Authorized official
SHARESE WELCH (CREDENTIALING SPECIALIST)
(718) 573-1123
Entity
Organization

Contact information

Practice address
2001 MARCUS AVENUE, LAKE SUCCESS, NY 11042
(516) 355-2277
(516) 626-9243
Mailing address
83 WHEATLEY RD, OLD WESTBURY, NY 11568-1210
(516) 355-2277
(516) 626-9243

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N002371-1
NY

Other

Enumeration date
12/27/2011
Last updated
01/03/2019
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