Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | 177594-1 | NY |
NPI | 1043261779 |
---|---|
Provider Name | Lloyd W Brown |
First Address | Williamsville, NY 14221-2313 |
Second Address | Williamsville, NY 14221-5906 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2006 |
Last Update Date | 14/11/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01617252 | (05) | NY |