Healthcare Provider Details
I. General information
NPI: 1760536635
Provider Name (Legal Business Name): RICHARD HOWARD BRENT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/22/2007
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
263 HARWOOD AVE
SLEEPY HOLLOW NY
10591-1312
US
IV. Provider business mailing address
263 HARWOOD AVE
SLEEPY HOLLOW NY
10591-1312
US
V. Phone/Fax
- Phone: 347-387-3327
- Fax:
- Phone: 212-289-7595
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | 139635-1 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: