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NPI Code Detail

MEDICARE: MR. ROYAL GUY BROWN LCSW

MEDICARE: MR. ROYAL GUY BROWN LCSW
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
1104100000XSocial Worker078148-1NY
21041C0700XClinical Social Worker079961-1NY

General Provider Information

NPI Number : 1225331069
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ROYAL GUY BROWN LCSW
Provider Business Mailing Address
First Line : 401 NEW KARNER RD
Second Line :
City : ALBANY
State : NY
Zip : 12205-3854
Country : US
Telephone Number : 518-431-1650
Fax Number : 518-626-5407
Provider Business Practice Location Address
First Line : 401 NEW KARNER RD
Second Line :
City : ALBANY
State : NY
Zip : 12205-3854
Country : US
Telephone Number : 518-431-1650
Fax Number : 518-447-0429
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2010
Last Update Date : 01/19/2021

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