Individual
NATHAN MICHAEL BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2230 N TRIPHAMMER RD, ITHACA, NY 14850-6513
(607) 266-5300
Mailing address
211 4TH AVE, FRANKFORT, NY 13340-1405
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
011613-1
NY
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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