Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | 0579382 | NY |
NPI | 1083973358 |
---|---|
Provider Name | Dr. Meryl Kramer Brown |
First Address | New York, NY 10023-5882 |
Second Address | New York, NY 10023-5882 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2012 |
Last Update Date | 27/04/2017 |