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NPI Code Detail

MEDICARE: DEBBEDO BROWN

MEDICARE:   DEBBEDO  BROWN
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
1104100000XSocial Worker096891NY

General Provider Information

NPI Number : 1649939562
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBBEDO BROWN
Provider Business Mailing Address
First Line : 10 CARMELLO RD
Second Line :
City : NEWBURGH
State : NY
Zip : 12550-1319
Country : US
Telephone Number : 508-685-4066
Fax Number :
Provider Business Practice Location Address
First Line : 10 CARMELLO RD
Second Line :
City : NEWBURGH
State : NY
Zip : 12550-1319
Country : US
Telephone Number : 508-685-4066
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2021
Last Update Date : 03/26/2024

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Directions to “ DEBBEDO BROWN ” Practice Location

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