# SAMUEL BROWN DO, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740861855
- **Authorized official:** PAUL WINKLER (OFFICE MANAGER)
- **Authorized official phone:** (631) 476-4000

## Contact information

- **Practice address:** 3 FRANCES LN, PORT JEFFERSON, NY 11777-1125
- **Practice address phone:** (631) 476-4000
- **Practice address fax:** (631) 629-1077
- **Mailing address:** 3 FRANCES LN, PORT JEFFERSON, NY 11777-1125
- **Mailing address phone:** (631) 476-4000
- **Mailing address fax:** (631) 629-1077

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/20/2021
- **Last updated:** 04/20/2021