Healthcare Provider Details

I. General information

NPI: 1922142579
Provider Name (Legal Business Name): BRENNER, LEVY, MUSIKER & WEINER, LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1875 HUDSON AVE
ROCHESTER NY
14617-5107
US

IV. Provider business mailing address

1875 HUDSON AVE
ROCHESTER NY
14617-5107
US

V. Phone/Fax

Practice location:
  • Phone: 585-266-9220
  • Fax: 585-266-4878
Mailing address:
  • Phone: 585-266-9220
  • Fax: 585-266-4878

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number032941
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number030573
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number031781
License Number StateNY
# 4
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number038725
License Number StateNY

VIII. Authorized Official

Name: DR. HOWARD WEINER
Title or Position: PARTNER
Credential: D.M.D.
Phone: 585-266-9220