Individual
ANTANIQUE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 NICOLLS RD, STONY BROOK, NY 11794-8480
(631) 444-2968
(631) 444-2907
Mailing address
408 S 10TH AVE APT M4, HIGHLAND PARK, NJ 08904-3021
(908) 251-0023
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA1053970
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/08/2015
Last updated
10/01/2024
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