Individual
EVLYN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
360 SNEDIKER AVE, BROOKLYN, NY 11207-4552
(646) 459-9400
(646) 459-9455
Mailing address
592 ROCKAWAY AVE, BROOKLYN, NY 11212-5539
(718) 345-5000
(718) 345-5794
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2009-01964
NC
207Q00000X
Family Medicine Physician
Primary
226326
NY
207Q00000X
Family Medicine Physician
ME117067
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010394500
—
FL
05
—
02410295
—
NY
01
—
14T22
FLORIDA BLUE
FL
05
—
5914336
—
NC
Enumeration date
08/04/2006
Last updated
02/12/2019
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