Brenner, Jack Leon

Brenner, Jack Leon is an sole proprietor health care provider with primary practice located at 1974 Maple Hill Street Suite 6, Yorktown Heights NY 10598. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Brenner, Jack Leon can be contacted via phone (914) 962-5596.

Contact Information

Primary practice address
1974 Maple Hill Street Suite 6 Yorktown Heights NY 10598
Phone: (914) 962-5596
Fax: (914) 962-5919
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 106478 New York
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 106478 New York

Profile Details

NPI number 1033287347
LBN Legal business name Brenner, Jack Leon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 4th, 2006
Last updated Sep 19th, 2012 - about 12 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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