1265617930 NPI number — UNIVERSITY PLACE ORHTOPEDICS, LLP

Table of content: DR. MATTHEW B BROWN M.D., D.D.S. (NPI 1851381867)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265617930 NPI number — UNIVERSITY PLACE ORHTOPEDICS, LLP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNIVERSITY PLACE ORHTOPEDICS, LLP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1265617930
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/31/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
95 UNIVERSITY PL
Provider Second Line Business Mailing Address:
8TH FLOOR
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10003-4515
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-604-1340
Provider Business Mailing Address Fax Number:
212-604-1338

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
95 UNIVERSITY PL
Provider Second Line Business Practice Location Address:
8TH FLOOR
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10003-4515
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-604-1340
Provider Business Practice Location Address Fax Number:
212-604-1338
Provider Enumeration Date:
12/31/2007

Additional Information

Authorized Official

Authorized Official Last Name:
FELDMAN
Authorized Official First Name:
ANDREW
Authorized Official Middle Name:
Authorized Official Title or Position:
GENERAL PARTNER
Authorized Official Telephone Number:
212-604-1340

Provider Taxonomy Codes

  • Taxonomy code: 207X00000X , with the licence number:  182161 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1063432235 . This is a "PROVIDER INDIVIDUAL NPI#" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 182161 . This is a "NEW YORK STATE LICENSE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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