Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK LEON BRENNER, MD
Active Sole ProprietorGastroenterology · YORKTOWN HEIGHTS, NY
Registration Details
- NPI Number
- 1033287347
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 4, 2006 (19.407590240546 yrs)
- Last Updated
- Sep 19, 2012
- Licenses
-
106478 (NY)106478 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1974 MAPLE HILL STREETSUITE 6YORKTOWN HEIGHTS, NY, 10598Browse NY providers · Browse ZIP 10598
- Phone
- 9149625596
- Fax
- 9149625919
- Primary Specialty
-
Gastroenterology
207RG0100X
- Additional Specialty
- Gastroenterology
Other Gastroenterology Providers in YORKTOWN HEIGHTS, NY
| Name | Credential | NPI |
|---|---|---|
| SHIREEN A PAIS | M.D. | 1396709838 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.