MEDICARE: BROWNSTONE PHYSICAL THERAPY, P.C.

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	261QP2000X	Physical Therapy Clinic/Center	008672	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356530182
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BROWNSTONE PHYSICAL THERAPY, P.C.

Provider Business Mailing Address
First Line	:	1900 STATE ROUTE 31
Second Line	:	SUITE 12
City	:	MACEDON
State	:	NY
Zip	:	14502-8943
Country	:	US
Telephone Number	:	315-986-4655
Fax Number	:	315-986-5901

Provider Business Practice Location Address
First Line	:	1900 STATE ROUTE 31
Second Line	:	SUITE 12
City	:	MACEDON
State	:	NY
Zip	:	14502-8943
Country	:	US
Telephone Number	:	315-986-4655
Fax Number	:	315-986-5901

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	DR. CLARKE D BROWN
Credential	:	DPT, PT, ATC, OCS
Telephone Number	:	315-986-4655

Provider Enumeration Date	:	10/17/2007
Last Update Date	:	10/17/2007

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Directions to “BROWNSTONE PHYSICAL THERAPY, P.C. ” Practice Location

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