Individual
REBECCA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
27 JOLINE RD, PORT JEFFERSON STATION, NY 11776-3305
(518) 312-8128
Mailing address
27 JOLINE RD, PORT JEFFERSON STATION, NY 11776-3305
(518) 312-8128
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
626564
NY
Other
Enumeration date
08/31/2011
Last updated
08/31/2011
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