Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 9786 | NY |
NPI | 1003076662 |
---|---|
Provider Name | Dr. John Francis Brown |
First Address | New York, NY 10019-7400 |
Second Address | New York, NY 10019-7400 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2008 |
Last Update Date | 16/06/2008 |