Individual
GARY ELLIS BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
69 LINWOOD AVE, BUFFALO, NY 14209-2203
(404) 456-5374
Mailing address
69 LINWOOD AVE, BUFFALO, NY 14209-2203
(404) 456-5374
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/03/2022
Last updated
03/03/2022
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