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Individual
MICHAEL BROWN
Active
Individual
MICHAEL BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1-113905
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000492901001
BS OF NENY
—
05
—
00770392
—
NY
01
—
050210000044
FIDELIS
—
01
—
10025345
CDPHP
—
01
—
1891975
UNITED HEALTHCARE
—
01
—
217331
MVP
—
01
—
2597780
GHI PPO
—
01
—
43082
GHI HMO
—
01
—
92A713
BC/BS
—
Enumeration date
05/22/2006
Last updated
05/02/2008
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