Individual
AMBER BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2114 LAKE ST, SANDY CREEK, NY 13145-2199
(315) 408-8412
Mailing address
2114 LAKE ST, SANDY CREEK, NY 13145-2199
(315) 408-8412
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
269283
NY
Other
Enumeration date
03/04/2011
Last updated
03/04/2011
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