MEDICARE: DR. ROBERT MICHAEL BROWNE DC.

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
1	111N00000X	Chiropractor	X009605	NY

General Provider Information

NPI Number	:	1215088471
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT MICHAEL BROWNE DC.

Provider Business Mailing Address
First Line	:	3204 AMBOY RD
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10306-2752
Country	:	US
Telephone Number	:	718-987-1000
Fax Number	:	718-987-2121

Provider Business Practice Location Address
First Line	:	3204 AMBOY RD
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10306-2752
Country	:	US
Telephone Number	:	718-987-1000
Fax Number	:	718-987-1000

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/15/2007
Last Update Date	:	06/04/2008

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