Dr JACK L BRENNER is a male medical professional, specializing in Gastroenterology. He graduated in 1970.
1974 MAPLE HILL ST
SUITE 6
YORKTOWN HEIGHTS
NY
105984129
Tel:
| Npi | 1033287347 |
| Pac Id | 2365573599 |
| Professional Enrollment Id | I20100701000319 |
| Last Name | BRENNER |
| First Name | JACK |
| Middle Name | L |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1970 |
| Primary Specialty | GASTROENTEROLOGY |
| Secondary Specialty 1 | INTERNAL MEDICINE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | INTERNAL MEDICINE |
| Organization Legal Name | |
| Group Practice Pac Id | |
| Number Of Group Practice Members | |
| Line 1 Street Address | 1974 MAPLE HILL ST |
| Line 2 Street Address | SUITE 6 |
| Marker Of Address Line 2 Suppression | |
| City | YORKTOWN HEIGHTS |
| State | NY |
| Zip Code | 105984129 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 330162 |
| Hospital Affiliation Lbn 1 | NORTHERN WESTCHESTER HOSPITAL |
| Hospital Affiliation Ccn 2 | |
| Hospital Affiliation Lbn 2 | |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
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| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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