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NPI Code Detail

MEDICARE: ALIZA BROWN

MEDICARE: ALIZA BROWN
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1265219323
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALIZA BROWN
Provider Business Mailing Address
First Line : 2294 NOSTRAND AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-3810
Country : US
Telephone Number : 718-853-9700
Fax Number :
Provider Business Practice Location Address
First Line : 2294 NOSTRAND AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-3810
Country : US
Telephone Number : 718-853-9700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2023
Last Update Date : 09/12/2023

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