Healthcare Provider Details

I. General information

NPI: 1487716049
Provider Name (Legal Business Name): RICHARD P. BROWN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

86 SHERRY LN
KINGSTON NY
12401-4724
US

IV. Provider business mailing address

86 SHERRY LN
KINGSTON NY
12401-4724
US

V. Phone/Fax

Practice location:
  • Phone: 914-715-1581
  • Fax: 845-331-3562
Mailing address:
  • Phone: 914-715-1581
  • Fax: 845-331-3562

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number133815
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: