Healthcare Provider Details

I. General information

NPI: 1801892708
Provider Name (Legal Business Name): CHRISTINA M BROWN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2005
Last Update Date: 08/16/2021
Certification Date: 08/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 INSTITUTE ST
JAMESTOWN NY
14701-6628
US

IV. Provider business mailing address

319 CENTRAL AVE STE B
DUNKIRK NY
14048-2137
US

V. Phone/Fax

Practice location:
  • Phone: 716-484-4334
  • Fax: 716-484-4335
Mailing address:
  • Phone: 716-363-6050
  • Fax: 716-363-6333

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number213870
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: