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Individual

JENNIE L BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5100 W TAFT RD, SUITE 1D, LIVERPOOL, NY 13088-3807
(315) 452-2829
(315) 452-2870
Mailing address
5100 W TAFT RD, LIVERPOOL, NY 13088-3807
(315) 452-2828
(315) 452-2870

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
208202
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01976530
NY
Enumeration date
03/27/2006
Last updated
11/15/2011
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