Individual
DIANE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1400 PELHAM PKWY S, BRONX, NY 10461-1138
(718) 918-5000
(718) 918-4074
Mailing address
1400 PELHAM PKWY S, BRONX, NY 10461-1138
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
006694
NY
363A00000X
Physician Assistant
Primary
006694-1
NY
Other
Enumeration date
02/07/2007
Last updated
10/23/2024
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