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Individual
MOLLY BROWN
Active
Individual
MOLLY BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
013058
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00013058
—
NY
01
—
000403951001
BSNENY
—
01
—
10074302
CDPHP
—
01
—
75231
GHIHHMO
—
01
—
M42261
EMPIRE BLUE CROSS
—
Enumeration date
09/16/2006
Last updated
11/30/2020
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