Individual
ROBERT K BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
192 PARK CLUB LN, SUITE 100, WILLIAMSVILLE, NY 14221-5242
(716) 204-1101
(716) 204-0914
Mailing address
192 PARK CLUB LN, SUITE 100, WILLIAMSVILLE, NY 14221-5242
(716) 204-1101
(716) 204-0914
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
193194
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00020266201
UNIVERA ID#
NY
01
—
000524905001
BLUE CROSS BLUE SHIELD ID
NY
05
—
01789160
—
NY
01
—
0909595
INDEPENDENT HEALTH ID #
NY
01
—
COS193194
NYS WORKERS COMPENSATION
NY
Enumeration date
07/29/2005
Last updated
08/26/2019
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