1770599300 NPI number — MS. ANN-MARIE BROWN APRN-BC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1770599300 NPI number — MS. ANN-MARIE BROWN APRN-BC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BROWN
Provider First Name:
ANN-MARIE
Provider Middle Name:
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
APRN-BC
Provider Gender Code:
F

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:
1770599300
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/10/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
341 W 88TH ST
Provider Second Line Business Mailing Address:
1A
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10024-2239
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-873-2928
Provider Business Mailing Address Fax Number:
212-873-2928

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
341 W 88TH ST
Provider Second Line Business Practice Location Address:
1A
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10024-2239
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-873-2928
Provider Business Practice Location Address Fax Number:
212-873-2928
Provider Enumeration Date:
08/01/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  312980 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103K00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 321179 . This is a "TRICARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 01924372 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 11303 . This is a "MAGNACARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: P403732 . This is a "OXFORD HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 172527 . This is a "VALUEOPTIONS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 7483196 . This is a "GHI" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: I 7768509 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: P403732 . This is a "OXFORD HEALTH PLANS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: AB0R051910 . This is a "BCBS EMPIRE NY" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com