Individual
JOHN PATRICK BRENNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1615 NORTHERN BLVD, SUITE 202, MANHASSET, NY 11030-3033
(516) 627-0146
(516) 365-4750
Mailing address
1615 NORTHERN BLVD, STE 403, MANHASSET, NY 11030-3033
(516) 627-0146
(516) 365-4750
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
097435
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00164172
—
NY
Enumeration date
10/27/2006
Last updated
01/18/2017
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