Provider Demographics
NPI:1942422837
Name:BRENHOLZ, PAULINE (MD)
Entity Type:Individual
Prefix:DR
First Name:PAULINE
Middle Name:
Last Name:BRENHOLZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:280 MAMARONECK AVENUE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605
Mailing Address - Country:US
Mailing Address - Phone:914-997-6535
Mailing Address - Fax:914-997-6536
Practice Address - Street 1:280 MAMARONECK AVENUE
Practice Address - Street 2:SUITE 205
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605
Practice Address - Country:US
Practice Address - Phone:914-997-6535
Practice Address - Fax:914-997-6536
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY136086170100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170100000XOther Service ProvidersMedical Genetics, Ph.D. Medical Genetics