Healthcare Provider Details

I. General information

NPI: 1285614438
Provider Name (Legal Business Name): MARTIN BROWER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/21/2006
Last Update Date: 03/29/2021
Certification Date: 03/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 E 22ND ST APT 16F
NEW YORK NY
10010-4819
US

IV. Provider business mailing address

301 E 22ND ST APT 16F
NEW YORK NY
10010-4819
US

V. Phone/Fax

Practice location:
  • Phone: 212-477-7588
  • Fax:
Mailing address:
  • Phone: 212-477-7588
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number67243
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number154127
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: