Brenner, David Allen
Brenner, David Allen is an sole proprietor health care provider with primary practice located at 161 Fort Washington Ave , New York NY 10032-3729. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Brenner, David Allen can be contacted via phone (212) 305-3427.Contact Information
Primary practice address
161 Fort Washington Ave
New York NY 10032-3729
Phone: (212) 305-3427
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 228360 | New York |
Profile Details
| NPI number | 1679649024 |
|---|---|
| LBN Legal business name | Brenner, David Allen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679649024 | NPPES |
| New York | MEDICAID | 01728716 |
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