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Individual

MRS. MARY TERESA BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
B.S.N.

Contact information

Practice address
207 HALLOCK RD STE 201, STONY BROOK, NY 11790-3073
(631) 689-8920
(631) 689-8955
Mailing address
249 W LAKE DR, MONTAUK, NY 11954-5235
(631) 668-2529
(631) 668-2529

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
358070-1
NY

Other

Enumeration date
12/27/2010
Last updated
12/27/2010
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