Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack L Brenner MD PC

Organization Internal Medicine Physician · NPI 1417268046

Jack L Brenner MD PC is an Internal Medicine Physician in Yorktown Hts, New York. Licensed in New York. Registered with an NPI since 2010.

Licensed in
NY
In the registry since
2010
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1974 Maple Hill St Ste 6
Yorktown Hts, NY 10598-4190
Phone: (914) 962-5596
Fax: (914) 962-5919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 1064781 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 1064781 (NY)

Record details

NPI number1417268046
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jack Brenner — Medical Doctor · (914) 962-5596
NPI enumeratedJune 29, 2010
Last updated in NPPESJanuary 10, 2018
Mailing address1974 Maple Hill St, Suite 6, Yorktown Hts, NY 10598-4190

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