Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK L BRENNER MD PC
Active OrganizationGastroenterology · YORKTOWN HTS, NY
Registration Details
- NPI Number
- 1417268046
- Provider Type
- Organization
- NPI Issued
- Jun 29, 2010 (15.852305133287 yrs)
- Last Updated
- Jan 10, 2018
- Licenses
-
1064781 (NY)1064781 (NY)
Practice Information
- Address
-
1974 MAPLE HILL STSUITE 6YORKTOWN HTS, NY, 105984190Browse NY providers · Browse ZIP 10598
- Phone
- 9149625596
- Fax
- 9149625919
- Primary Specialty
-
Gastroenterology
207RG0100X
- Additional Specialty
- Gastroenterology
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.