Desai, Brena Manish

Desai, Brena Manish is an sole proprietor health care provider with primary practice located at 15715 46Th Ave , Flushing NY 11355-2353. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Desai, Brena Manish can be contacted via phone (718) 445-3029.

Contact Information

Primary practice address
15715 46Th Ave Flushing NY 11355-2353
Phone: (718) 445-3029
Fax: (718) 445-2889
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 225205 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 225205 New York

Profile Details

NPI number 1619929502
LBN Legal business name Desai, Brena Manish
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2006
Last updated Feb 14th, 2019 - about 5 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 1619929502 NPPES
New York MEDICAID 02286208

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