Healthcare Provider Details

I. General information

NPI: 1316009798
Provider Name (Legal Business Name): HYACINTH NICOLE BROWNE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/14/2006
Last Update Date: 07/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 FIFTH AVE 3RD FL
NEW YORK NY
10016
US

IV. Provider business mailing address

5320 S RAINBOW BLVD ST 300
LAS VEGAS NV
89118
US

V. Phone/Fax

Practice location:
  • Phone: 646-792-7476
  • Fax: 646-274-0600
Mailing address:
  • Phone: 702-794-0073
  • Fax: 702-696-0554

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberD0064139
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number257332
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: