Brenner, Stephen M

Brenner, Stephen M is an sole proprietor health care provider with primary practice located at 1 Christie Place, #407 , Scarsdale NY 10583-0000. 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, Stephen M can be contacted via phone (914) 723-9113.

Contact Information

Primary practice address
1 Christie Place, #407 Scarsdale NY 10583-0000
Phone: (914) 723-9113
Fax: (718) 601-5642
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 090574-1 New York
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 090574-1 New York

Profile Details

NPI number 1245234202
LBN Legal business name Brenner, Stephen M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2005
Last updated Nov 6th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1245234202 NPPES
New York Other P00187514 RAILROAD MEDICARE
New York MEDICAID 001434719 RAILROAD MEDICARE

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