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Contact Information

JACK L BRENNER, MD
1974 MAPLE HILL STREET
SUITE 6
YORKTOWN HEIGHTS, NY10598
 Phone: 914-962-5596
 Fax: 914-962-5919
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JACK L BRENNER · (Male)

NPI Number 1033287347
Status Active
Credentials MD
Entity Individual
Enumeration date 12/04/2006
Last updated 09/19/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 106478
Hospital affiliation(s)
  • NORTHERN WESTCHESTER HOSPITAL - (Acute Care)
    400 EAST MAIN STREET
    MOUNT KISCO, NY 10549
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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