Marc A. Brenner, D.p.m., Pllc
NPI #1912276643 in Lake Success, New York
Provider Information
- NPI Number
- 1912276643
- Entity Type
- Organization
- Organization Name
- Marc A. Brenner, D.p.m., Pllc
- Primary Specialty
- Podiatrist
- Enumeration Date
- Dec 27, 2011
- Last Updated
- Jan 3, 2019
Practice Location
- Address
- 2001 MARCUS AVENUE
- City
- Lake Success
- State
- New York
- ZIP Code
- 11042
- Phone
- (516) 355-2277
Authorized Official
- Name
- SHARESE WELCH
- Title
- CREDENTIALING SPECIALIST
- Phone
- (718) 573-1123
Specialties & Taxonomy Codes
| Specialty |
|---|
| Podiatrist |
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