Healthcare Provider Details

I. General information

NPI: 1730486846
Provider Name (Legal Business Name): ERIC A BROWNER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/25/2011
Last Update Date: 11/21/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

56-45 MAIN ST
FLUSHING NY
11355
US

IV. Provider business mailing address

56-45 MAIN ST
FLUSHING NY
11355
US

V. Phone/Fax

Practice location:
  • Phone: 718-670-1426
  • Fax:
Mailing address:
  • Phone: 718-670-1426
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PP0204X
TaxonomyPediatric Emergency Medicine (Emergency Medicine) Physician
License Number268866-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2080P0204X
TaxonomyPediatric Emergency Medicine (Pediatrics) Physician
License Number25MA08923400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: