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General NPI Number Information
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NPI Number | 1740643980
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Entity Type | Individual
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Provider Name | NICHOLAS BROWNSTONE M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/04/2016
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Last Update Date | 08/20/2021
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Provider Practice Location Address
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Address Line | 234 E 85TH ST
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City | NEW YORK
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State | NY
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Zip | 10028-3001
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Country | US
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Telephone | 908-917-1849
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Fax |
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Provider Business Mailing Address
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Address Line | 418 SANDFORD AVE
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City | WESTFIELD
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State | NJ
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Zip | 07090-2731
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Country | US
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Telephone | 908-917-1849
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 311829-01
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License Number State | NY
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