Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0106X | Oral and Maxillofacial Pathology | 042026 | NY |
NPI | 1487776233 |
---|---|
Provider Name | Dr. Gwen Cohen Brown |
First Address | Scarsdale, NY 10583-3867 |
Second Address | Scarsdale, NY 10583-3867 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2007 |
Last Update Date | 08/07/2007 |