| Jack L Brenner Md Pc | |
|
1974 Maple Hill St Suite 6 Yorktown Hts NY 10598-4190 | |
| (914) 962-5596 | |
| (914) 962-5919 |
| Full Name | Jack L Brenner Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1974 Maple Hill St, Yorktown Hts, New York |
| Authorized Official Name and Position | Jack L Brenner (MEDICAL DOCTOR) |
| Authorized Official Contact | 9149625596 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jack L Brenner Md Pc 1974 Maple Hill St Suite 6 Yorktown Hts NY 10598-4190 Ph: (914) 962-5596 | Jack L Brenner Md Pc 1974 Maple Hill St Suite 6 Yorktown Hts NY 10598-4190 Ph: (914) 962-5596 |
| NPI Number | 1417268046 |
|---|---|
| Provider Enumeration Date | 06/29/2010 |
| Last Update Date | 01/10/2018 |
| Medicare PECOS PAC ID | 6002947223 |
|---|---|
| Medicare Enrollment ID | O20100701000300 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417268046 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 1064781 (New York) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | 1064781 (New York) | Primary |
| Provider Name | Jack L Brenner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033287347 PECOS PAC ID: 2365573599 Enrollment ID: I20100701000319 |
Mount Kisco Medical Group Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1940 Commerce St, Suite 201, Yorktown Hts, NY 10598 Phone: 914-962-5577 | |
Westchester Medical Associates Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 322 Underhill Avenue, Yorktown Hts, NY 10598 Phone: 914-962-5501 Fax: 914-962-0799 | |
Alan R. Schadlow, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 Veterans Rd, Yorktown Hts, NY 10598 Phone: 914-962-3824 |