Provider Demographics
NPI:1871248674
Name:HILLARY B BRENNER DPM PC
Entity Type:Organization
Organization Name:HILLARY B BRENNER DPM PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HILLARY
Authorized Official - Middle Name:B
Authorized Official - Last Name:BRENNER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:212-227-9655
Mailing Address - Street 1:160 BROADWAY STE 1000
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-4201
Mailing Address - Country:US
Mailing Address - Phone:646-702-6698
Mailing Address - Fax:212-227-9655
Practice Address - Street 1:101 CRAWFORDS CORNER RD STE 1116B
Practice Address - Street 2:
Practice Address - City:HOLMDEL
Practice Address - State:NJ
Practice Address - Zip Code:07733-1977
Practice Address - Country:US
Practice Address - Phone:212-227-9655
Practice Address - Fax:212-227-8829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-21
Last Update Date:2022-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP1100XAmbulatory Health Care FacilitiesClinic/CenterPodiatric