Individual
KIRK BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2625 E 14TH ST, SUITE 200, BROOKLYN, NY 11235-3979
(718) 769-2698
Mailing address
2835 OCEAN AVE, APT 1F, BROOKLYN, NY 11235-3161
(347) 451-4255
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
252Y000000X
NY
Other
Enumeration date
10/16/2013
Last updated
10/16/2013
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