Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 276988 | NY |
N | 208000000X | Pediatrician | MT192983 | PA |
Y | 2080P0207X | Pediatric Hematology-Oncologist | 276988 | NY |
NPI | 1093971665 |
---|---|
Provider Name | Amy Elizabeth Caruso Brown |
First Address | Syracuse, NY 13212-4584 |
Second Address | Syracuse, NY 13210-2306 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2008 |
Last Update Date | 02/11/2016 |