Brennessel, Debra J

Brennessel, Debra J is an individual health care provider with primary practice located at 8268 164Th St , Jamaica NY 11432-1121. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Brennessel, Debra J can be contacted via phone (718) 883-4847.

Contact Information

Primary practice address
8268 164Th St Jamaica NY 11432-1121
Phone: (718) 883-4847
Fax: (718) 883-6197
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 144468 New York
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 144468 New York

Profile Details

NPI number 1134236888
LBN Legal business name Brennessel, Debra J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134236888 NPPES
New York MEDICAID 01089005

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