Provider Demographics
NPI:1710022397
Name:BRENKLER, FAINA (PNP)
Entity Type:Individual
Prefix:MRS
First Name:FAINA
Middle Name:
Last Name:BRENKLER
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5010 6TH AVE
Mailing Address - Street 2:PS94
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-2008
Mailing Address - Country:US
Mailing Address - Phone:718-435-7166
Mailing Address - Fax:718-633-5413
Practice Address - Street 1:5010 6TH AVE
Practice Address - Street 2:PS94
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-2008
Practice Address - Country:US
Practice Address - Phone:718-435-7166
Practice Address - Fax:718-633-5413
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2021-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF380070363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics