Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 235696 | NY |
N | 111NI0900X | Internist | 235696 | NY |
N | 207RH0000X | Hematologist | 235696 | NY |
N | 207RX0202X | Medical Oncology | 235696 | NY |
Y | 207RX0202X | Medical Oncology | 25MA08932200 | NJ |
NPI | 1386800464 |
---|---|
Provider Name | Dr. Andrew Bennett Brown |
First Address | New York, NY 10010-1001 |
Second Address | Livingston, NJ 07039-5672 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2008 |
Last Update Date | 11/06/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03076148 | (05) | NY |