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NPI Code Detail

MEDICARE: COLLEEN CARROLL BROWN

MEDICARE: COLLEEN CARROLL 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
1174400000XSpecialist

General Provider Information

NPI Number : 1346192929
Entity Type Code : Individual
Provider Name (Legal Business Name) : COLLEEN CARROLL BROWN
Provider Business Mailing Address
First Line : 750 HICKSVILLE RD
Second Line :
City : SEAFORD
State : NY
Zip : 11783-1328
Country : US
Telephone Number : 516-520-6000
Fax Number :
Provider Business Practice Location Address
First Line : 750 HICKSVILLE RD
Second Line :
City : SEAFORD
State : NY
Zip : 11783-1328
Country : US
Telephone Number : 516-520-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2026
Last Update Date : 02/13/2026

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Directions to “ COLLEEN CARROLL BROWN ” Practice Location

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