DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LISA BRENNER

Active Sole Proprietor

LISA BRENNER is a Specialist healthcare provider located in SMITHTOWN, New York. NPI 1629333984 is currently active in the NPPES registry. Verify at CMS.

Specialist · SMITHTOWN, NY

Registration Details

NPI Number
1629333984
Provider Type
Individual
Gender
Female
NPI Issued
Jul 11, 2012 (14.079783788465 yrs)
Last Updated
Jul 11, 2012
Sole Proprietor
Yes

Practice Information

Address
62 ST. NICHOLAS AVE.
SMITHTOWN, NY, 11787
Browse NY providers · Browse ZIP 11787
Phone
6313616051
Primary Specialty
Specialist
174400000X

Other Specialist Providers in SMITHTOWN, NY

Name Credential NPI
STEPHEN DANIEL SHAPPELL M.D. 1437157948
DAVID FARR M.D. 1407854912
ARMEN OVSEPIAN M.D. 1629076146
EZRA DEUTSCH M.D. 1356349716
EILEEN RAE BISHOP M.D. 1356349708
MICHAEL SUNGHOON LEE M.D. 1659379725
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.