MEDICARE: DR. TARTANIA MARIA BROWN MD

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	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician	264896-01	NY

General Provider Information

NPI Number	:	1447413075
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TARTANIA MARIA BROWN MD

Provider Business Mailing Address
First Line	:	39 BROADWAY FL 3
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10006-3113
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	39 BROADWAY FL 3
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10006-3113
Country	:	US
Telephone Number	:	917-648-5827
Fax Number	:

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

Provider Enumeration Date	:	07/03/2008
Last Update Date	:	08/14/2023

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