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Individual

MR. ROBERT LEE BROWN II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
107 N MANNING BLVD, ALBANY, NY 12206-2227
(518) 221-1333
Mailing address
107 N MANNING BLVD, ALBANY, NY 12206-2227
(518) 221-1333

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
21606
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
141348692
NY
Enumeration date
10/25/2012
Last updated
10/25/2012
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