Healthcare Provider Details

I. General information

NPI: 1700150778
Provider Name (Legal Business Name): VIOLA ROSALIND BROWNE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/08/2012
Last Update Date: 03/08/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 UTICA AVE
BROOKLYN NY
11234-2121
US

IV. Provider business mailing address

1800 UTICA AVE
BROOKLYN NY
11234-2121
US

V. Phone/Fax

Practice location:
  • Phone: 718-241-4828
  • Fax:
Mailing address:
  • Phone: 718-241-4828
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number403948
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: