Individual
DR. VIXEN LEIGHTON-ANDREW GREY-BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14 E 105TH ST APT 1, NEW YORK, NY 10029-4410
(917) 355-3879
(954) 337-0565
Mailing address
14 E 105TH ST, APT 1, NEW YORK, NY 10029
(917) 755-3954
(954) 337-0565
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
221191
NY
2084P0800X
Psychiatry Physician
221191
NY
2084P0800X
Psychiatry Physician
ME107579
FL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
221191
NY
2084P0804X
Child & Adolescent Psychiatry Physician
ME107579
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002817700
—
FL
Enumeration date
10/10/2006
Last updated
09/09/2021
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