Individual
TRACEY BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPP
Contact information
Practice address
11 ROUTE 111, SMITHTOWN, NY 11787-3712
(631) 920-8300
(631) 920-8466
Mailing address
296 N BROOME AVE, LINDENHURST, NY 11757-3831
(631) 412-5743
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401144
NY
Other
Enumeration date
08/06/2008
Last updated
08/06/2008
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