MEDICARE: MS. ANN-MARIE BROWN APRN-BC

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	101YP2500X	Professional Counselor	312980	NY
2	103K00000X	Behavior Analyst
3	101YM0800X	Mental Health Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	321179	OTHER	NY	TRICARE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	11303	OTHER		MAGNACARE
4	P403732	OTHER		OXFORD HEALTH
5	172527	OTHER	NY	VALUEOPTIONS
6	7483196	OTHER	NY	GHI
7	I 7768509	OTHER		AETNA
8	P403732	OTHER	NY	OXFORD HEALTH PLANS
9	AB0R051910	OTHER		BCBS EMPIRE NY

General Provider Information

NPI Number	:	1770599300
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANN-MARIE BROWN APRN-BC

Provider Business Mailing Address
First Line	:	341 W 88TH ST
Second Line	:	1A
City	:	NEW YORK
State	:	NY
Zip	:	10024-2239
Country	:	US
Telephone Number	:	212-873-2928
Fax Number	:	212-873-2928

Provider Business Practice Location Address
First Line	:	341 W 88TH ST
Second Line	:	1A
City	:	NEW YORK
State	:	NY
Zip	:	10024-2239
Country	:	US
Telephone Number	:	212-873-2928
Fax Number	:	212-873-2928

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

Provider Enumeration Date	:	08/01/2006
Last Update Date	:	06/10/2014

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