1750412706 NPI number — NEW YORK ORTHOPEDIC SPECIALISTS PC

Table of content: MRS. ELIZABETH ASHLEY BROWN MA CCC SLP (NPI 1518128388)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750412706 NPI number — NEW YORK ORTHOPEDIC SPECIALISTS PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEW YORK ORTHOPEDIC SPECIALISTS PC
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:
1750412706
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/14/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1 DEER PARK MEADOW RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GREENWICH
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06830-3804
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
203-629-3428
Provider Business Mailing Address Fax Number:
914-725-3291

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
700 WHITE PLAINS RD
Provider Second Line Business Practice Location Address:
SUITE 10
Provider Business Practice Location Address City Name:
SCARSDALE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10583
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-723-4244
Provider Business Practice Location Address Fax Number:
914-725-3291
Provider Enumeration Date:
03/08/2007

Additional Information

Authorized Official

Authorized Official Last Name:
HAIG
Authorized Official First Name:
SCOTT
Authorized Official Middle Name:
VANDERWINK
Authorized Official Title or Position:
MD OWNER
Authorized Official Telephone Number:
914-723-4244

Provider Taxonomy Codes

  • Taxonomy code: 207X00000X , with the licence number:  168044 , 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: WWR891 . This is a "MEDICARE ID" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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