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Individual

DR. CRAIG RUSSELL BROWN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PH. D.

Contact information

Practice address
175 JERICHO TPKE, SUITE 115, SYOSSET, NY 11791-4532
(516) 496-3620
(516) 496-0193
Mailing address
175 JERICHO TPKE, SUITE 115, SYOSSET, NY 11791-4532
(516) 496-3620
(516) 496-0193

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
007725
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4573896
AETNA
NY
01
AS1743
OXFORD HEALTH CARE
NY
01
GHI 0060465
VALUE OPTIONS
NY
Enumeration date
03/28/2006
Last updated
07/08/2007
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