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NPI Code Detail

MEDICARE: KRISTINA A BROWN RPA-C

MEDICARE:   KRISTINA A BROWN  RPA-C
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
1363AM0700XMedical Physician Assistant005782-1NY

General Provider Information

NPI Number : 1851536528
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTINA A BROWN RPA-C
Provider Business Mailing Address
First Line : 450 CLARKSON AVE # 1240
Second Line :
City : BROOKLYN
State : NY
Zip : 11203-2056
Country : US
Telephone Number : 718-270-2842
Fax Number : 718-270-2298
Provider Business Practice Location Address
First Line : 450 CLARKSON AVE # 1240
Second Line :
City : BROOKLYN
State : NY
Zip : 11203-2056
Country : US
Telephone Number : 718-270-2842
Fax Number : 718-270-2298
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2008
Last Update Date : 12/10/2008

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Directions to “ KRISTINA A BROWN RPA-C” Practice Location

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