Mark Brennan
Surgeon Vascular Surgeon
30 Harrison St Ste 455
Johnson City
, New York 13790-2161
Mark Brennan
Surgeon Vascular Surgeon
30 Harrison St Ste 455
Johnson City
, New York 13790-2161
(607) 729-8866
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About
Features
Specialties
- Surgeon
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Mark Brennan
- 346 Grand Ave United Medical Associates, Pc
- Johnson City, NY
- Zip : 13790-2558
- Fax : (607) 729-8866
- Phone : (607) 763-8100
Second Address
- Mark Brennan
- 30 Harrison St Ste 455
- Johnson City, NY
- Zip : 13790-2161
- Fax : (607) 763-8048
- Phone : (607) 763-8100
Reviews
FAQs
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What type of doctor is Mark Brennan
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What is Mark Brennan ’s gender?
Is Mark Brennan a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 217717 | NY |
| N | 208600000X | Surgeon | 217717 | NY |
| Y | 2086S0129X | Vascular Surgeon | 217717 | NY |
National Provider Identifier
| NPI | 1174523443 |
|---|---|
| Provider Name | Mark Brennan |
| First Address | Johnson City, NY 13790-2558 |
| Second Address | Johnson City, NY 13790-2161 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/07/2005 |
| Last Update Date | 15/09/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 02082319 | (05) | NY |
| G61243 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.