Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 246422 | NY |
NPI | 1205099801 |
---|---|
Provider Name | Paula Anne Brown |
First Address | Mount Kisco, NY 10549-3446 |
Second Address | Fishkill, NY 12524-2281 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2008 |
Last Update Date | 15/11/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03249185 | (05) | NY |