Brennen, Peter M

Brennen, Peter M is an individual health care provider with primary practice located at 732 Old Country Rd , Plainview NY 11803-4929. He recently has only one registered license in Allopathic & Osteopathic Physicians / Retina Specialist, which is considered as his primary health care specialty. Brennen, Peter M can be contacted via phone (516) 822-3911.

Contact Information

Primary practice address
732 Old Country Rd Plainview NY 11803-4929
Fax: (516) 674-3017
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 297179 New York

Profile Details

NPI number 1831410679
LBN Legal business name Brennen, Peter M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2010
Last updated Sep 9th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831410679 NPPES
New York MEDICAID 05424039

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