Healthcare Provider Details

I. General information

NPI: 1790607133
Provider Name (Legal Business Name): DAIPAUL ROYALE BROWN OD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2094 ALBANY POST RD
MONTROSE NY
10548-1454
US

IV. Provider business mailing address

2094 ALBANY POST RD
MONTROSE NY
10548-1454
US

V. Phone/Fax

Practice location:
  • Phone: 914-737-4400
  • Fax: 914-788-4374
Mailing address:
  • Phone: 914-737-4400
  • Fax: 914-788-4374

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number011421-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: