Healthcare Provider Details

I. General information

NPI: 1326501768
Provider Name (Legal Business Name): DR SCOTT G BROWN DO PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2019
Last Update Date: 03/08/2022
Certification Date: 03/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2374 JERUSALEM AVE
NORTH BELLMORE NY
11710-1825
US

IV. Provider business mailing address

2374 JERUSALEM AVE
NORTH BELLMORE NY
11710-1825
US

V. Phone/Fax

Practice location:
  • Phone: 516-409-8311
  • Fax: 516-409-8313
Mailing address:
  • Phone: 516-409-8311
  • Fax: 516-409-8313

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SCOTT G BROWN
Title or Position: OWNER
Credential: DO
Phone: 516-406-8311