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LISA BRENNER
NPI 1629333984
Specialist in Smithtown, NY

Active since July 11, 2012
62 ST. NICHOLAS AVE., SMITHTOWN, NY 11787(631) 361-6051 Get Directions Write a Review

NPPES record last updated: July 11, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa Brenner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA BRENNER (NPI 1629333984) is an individual specialist in Smithtown, New York and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1629333984
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameLISA BRENNER
Location Address62 ST. NICHOLAS AVE.Smithtown, NY 11787
Mailing Address62 St. Nicholas Ave.Smithtown, NY 11787
Phone(631) 361-6051
Sole ProprietorYes
Enumeration DateJuly 11, 2012
✔ NPI 1629333984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
62 ST. NICHOLAS AVE., Smithtown, NY 11787
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Brenner's NPI number?

The NPI number for Lisa Brenner is 1629333984. It was assigned to this individual provider in the NPPES registry on July 11, 2012.

Where is Lisa Brenner located?

Lisa Brenner practices at 62 St. Nicholas Ave., Smithtown, NY 11787. The listed phone number is (631) 361-6051.

What is Lisa Brenner's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Lisa Brenner was last updated on July 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.