Individual
EDWARD IVAN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 TENTH STREET, NIAGARA FALLS, NY 14301-1800
(716) 278-4418
(716) 284-7188
Mailing address
462 GRIDER STREET, BUFFALO, NY 14215-3021
(716) 986-9199
(716) 986-9180
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
159963
NY
208000000X
Pediatrics Physician
1599632
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010201001
UNIVERA
NY
01
—
000510044005
BC BS CB
NY
05
—
00967840
—
NY
01
—
1203556
IHA
NY
Enumeration date
02/06/2007
Last updated
11/29/2011
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