MARC A. BRENNER D.P.M. PLLC NPI 1912276643

NPI Information

  • NPI: 1912276643
  • Provider Name: MARC A. BRENNER, D.P.M., PLLC
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • Former Legal Business Name: MARC ALAN BRENNER D.P.M., PC
  • Address: 2001 MARCUS AVENUE
    LAKE SUCCESS, NY
    ZIP 11042
  • Phone: (516) 355-2277

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NPI Details

MARC A. BRENNER, D.P.M., PLLC is a podiatrist in Lake Success, NY. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. MARC A. BRENNER, D.P.M., PLLC NPI is 1912276643. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Marc Alan Brenner D.p.m., Pc.

The provider's business location address is:

2001 MARCUS AVENUE
LAKE SUCCESS, NY
ZIP 11042
Phone: (516) 355-2277
Fax: (516) 626-9243

The provider's authorized official is Sharese Welch .
The authorized official title is Credentialing Specialist and has the following contact phone number (718) 573-1123.

The enumeration date for this NPI number is 12/27/2011 and was last updated on 1/3/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatristN002371-1NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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