Provider Demographics
NPI:1942443171
Name:MINER, BRIENNE (MD)
Entity Type:Individual
Prefix:
First Name:BRIENNE
Middle Name:
Last Name:MINER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:P.O. BOX 208030
Mailing Address - Street 2:YALE NEW HAVEN HOSPITAL
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06520
Mailing Address - Country:US
Mailing Address - Phone:203-688-2424
Mailing Address - Fax:203-785-2030
Practice Address - Street 1:333 CEDAR STREET
Practice Address - Street 2:YALE NEW HAVEN HOSPITAL
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06520-8025
Practice Address - Country:US
Practice Address - Phone:203-688-2424
Practice Address - Fax:203-785-2030
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-17
Last Update Date:2017-05-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT050718207R00000X, 207RS0012X, 207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine