MEDICARE: DR. DEBORAH SOPHIA HUNTER-BROWN M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	195354	NY

General Provider Information

NPI Number	:	1194743591
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEBORAH SOPHIA HUNTER-BROWN M.D

Provider Business Mailing Address
First Line	:	105 STEVENS AVE
Second Line	:	SUITE 408
City	:	MOUNT VERNON
State	:	NY
Zip	:	10550-2686
Country	:	US
Telephone Number	:	914-663-1368
Fax Number	:	914-663-1403

Provider Business Practice Location Address
First Line	:	105 STEVENS AVE
Second Line	:	SUITE 408
City	:	MOUNT VERNON
State	:	NY
Zip	:	10550-2686
Country	:	US
Telephone Number	:	914-663-1368
Fax Number	:	914-663-1403

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	07/08/2007

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