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NPI Code Detail

MEDICARE: TONYA EDIE BROWN

MEDICARE: TONYA EDIE 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
1163WC1500XCommunity Health Registered Nurse542953NY
2163W00000XRegistered Nurse542953NY

General Provider Information

NPI Number : 1659855070
Entity Type Code : Individual
Provider Name (Legal Business Name) : TONYA EDIE BROWN
Provider Business Mailing Address
First Line : 1020 THAYER AVE
Second Line :
City : AVENEL
State : NJ
Zip : 07001-2014
Country : US
Telephone Number : 917-627-1239
Fax Number :
Provider Business Practice Location Address
First Line : 463 HAWTHORNE AVE
Second Line :
City : YONKERS
State : NY
Zip : 10705-3441
Country : US
Telephone Number : 914-265-0689
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2018
Last Update Date : 03/23/2022

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