Individual
MRS. ALISA GLADSTONE-BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5020 HENRY HUDSON PKWY E, BRONX, NY 10471-3216
(917) 519-9401
Mailing address
5020 HENRY HUDSON PKWY E, BRONX, NY 10471-3216
(917) 519-9401
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
198210
NY
207L00000X
Anesthesiology Physician
Primary
198210
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
198210
NEW YORK STATE LICENSE NU
NY
Enumeration date
07/18/2006
Last updated
08/21/2024
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