MEDICARE: MS. GAIL A BROWN MA

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	235Z00000X	Speech-Language Pathologist	000447	NY
2	102L00000X	Psychoanalyst	000509	NY

General Provider Information

NPI Number	:	1588729206
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. GAIL A BROWN MA

Provider Business Mailing Address
First Line	:	679 W 239TH ST
Second Line	:	APT #3B
City	:	BRONX
State	:	NY
Zip	:	10463-1258
Country	:	US
Telephone Number	:	718-884-6861
Fax Number	:	718-884-6845

Provider Business Practice Location Address
First Line	:	154 W 70TH ST
Second Line	:	APT 10A
City	:	NEW YORK
State	:	NY
Zip	:	10023-4402
Country	:	US
Telephone Number	:	212-799-6715
Fax Number	:	718-884-6845

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

Provider Enumeration Date	:	12/22/2006
Last Update Date	:	09/11/2025

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