MEDICARE: ELAINE PATRICIA BROWN MD

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	207V00000X	Obstetrics & Gynecology Physician	233517	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	:	1437231701
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELAINE PATRICIA BROWN MD

Provider Business Mailing Address
First Line	:	1182 EAST 86 STREET
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11236-4737
Country	:	US
Telephone Number	:	718-219-7680
Fax Number	:	718-773-7470

Provider Business Practice Location Address
First Line	:	765 NOSTRAND AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11216-4203
Country	:	US
Telephone Number	:	347-754-9967
Fax Number	:	718-773-7470

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

Provider Enumeration Date	:	10/19/2006
Last Update Date	:	04/21/2017

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