Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 265161 | NY |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 265161 | NY |
NPI | 1053586479 |
---|---|
Provider Name | Christopher Alan Brown |
First Address | Rochester, NY 14617-5504 |
Second Address | Canandaigua, NY 14424-2126 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2008 |
Last Update Date | 04/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03481798 | (05) | NY |