Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | 193194 | NY |
NPI | 1154321396 |
---|---|
Provider Name | Robert K Brown |
First Address | Williamsville, NY 14221-5242 |
Second Address | Williamsville, NY 14221-5242 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2005 |
Last Update Date | 26/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00020266201 | UNIVERA ID# (01) | NY |
000524905001 | BLUE CROSS BLUE SHIELD ID (01) | NY |
01789160 | (05) | NY |
0909595 | INDEPENDENT HEALTH ID # (01) | NY |
COS193194 | NYS WORKERS COMPENSATION (01) | NY |
F94684 | (02) | NY |