MEDICARE: CANDICE A BROWN-MANN R.N

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	163W00000X	Registered Nurse	621009	NY

General Provider Information

NPI Number	:	1235461245
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CANDICE A BROWN-MANN R.N

Provider Business Mailing Address
First Line	:	1628 E 48TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-3704
Country	:	US
Telephone Number	:	917-500-4317
Fax Number	:

Provider Business Practice Location Address
First Line	:	1682 E 48TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-3704
Country	:	US
Telephone Number	:	917-500-0917
Fax Number	:

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

Provider Enumeration Date	:	02/02/2010
Last Update Date	:	02/24/2010

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Directions to “ CANDICE A BROWN-MANN R.N” Practice Location

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