Provider Demographics
NPI:1922142579
Name:BRENNER, LEVY, MUSIKER & WEINER, LLP
Entity Type:Organization
Organization Name:BRENNER, LEVY, MUSIKER & WEINER, LLP
Other - Org Name:NORTH COAST DENTAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:WEINER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:585-266-9220
Mailing Address - Street 1:1875 HUDSON AVE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14617-5107
Mailing Address - Country:US
Mailing Address - Phone:585-266-9220
Mailing Address - Fax:585-266-4878
Practice Address - Street 1:1875 HUDSON AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14617-5107
Practice Address - Country:US
Practice Address - Phone:585-266-9220
Practice Address - Fax:585-266-4878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0329411223G0001X
NY0387251223G0001X
NY0305731223P0221X
NY0317811223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
Not Answered1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty