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NPI Code Detail

MEDICARE: KRISTINA BROWN PT

MEDICARE: KRISTINA BROWN PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist5214-1NY

General Provider Information

NPI Number : 1003954298
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTINA BROWN PT
Provider Business Mailing Address
First Line : 260 CASTLEMAN RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14620-4428
Country : US
Telephone Number : 585-271-6225
Fax Number :
Provider Business Practice Location Address
First Line : 2060 BRIGHTON HENRIETTA TOWN LINE RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14623-2792
Country : US
Telephone Number : 585-271-0661
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2007
Last Update Date : 11/09/2010

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