Individual
BETTY BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3 GATES CIR, BUFFALO, NY 14209-1120
(716) 692-3302
Mailing address
PO BOX 8000, DEPT. 164, BUFFALO, NY 14267-0002
(716) 692-3302
(716) 692-4342
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
207611
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02047538
—
NY
Enumeration date
04/26/2006
Last updated
05/02/2008
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