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NPI Code Detail

MEDICARE: MR. RICHARD NO MIDDLE NAME BROWN M.S.W.

MEDICARE: MR. RICHARD NO MIDDLE NAME BROWN M.S.W.
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
1101YM0800XMental Health CounselorR0223251NY

General Provider Information

NPI Number : 1255431565
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RICHARD NO MIDDLE NAME BROWN M.S.W.
Provider Business Mailing Address
First Line : 110 OCEAN PKWY
Second Line : 1F
City : BROOKLYN
State : NY
Zip : 11218-2457
Country : US
Telephone Number : 718-854-3535
Fax Number :
Provider Business Practice Location Address
First Line : 135 OCEAN PKWY
Second Line : 1U
City : BROOKLYN
State : NY
Zip : 11218-2567
Country : US
Telephone Number : 718-812-3249
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2006
Last Update Date : 07/08/2007

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