Individual
NICHOLAS BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
105 CANAL LANDING BLVD, SUITE 1, ROCHESTER, NY 14626-5107
(585) 368-4050
(585) 723-6705
Mailing address
105 CANAL LANDING BLVD, SUITE 1, ROCHESTER, NY 14626-5107
(585) 368-4050
(585) 723-6705
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
019653
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04536141
—
NY
Enumeration date
07/14/2016
Last updated
08/29/2022
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