Healthcare Provider Details

I. General information

NPI: 1255658951
Provider Name (Legal Business Name): AMY BROWNING CROMPTON ROSSITER PAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMY BROWNING CROMPTON

II. Dates (important events)

Enumeration Date: 04/21/2010
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1053 LEXINGTON AVE
NEW YORK NY
10021-3205
US

IV. Provider business mailing address

1053 LEXINGTON AVE
NEW YORK NY
10021-3205
US

V. Phone/Fax

Practice location:
  • Phone: 212-335-0482
  • Fax:
Mailing address:
  • Phone: 212-335-0482
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number6254
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number6254
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number6254
License Number StateCT
# 4
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number029905
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: