Individual
DAVID JONATHAN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
456 NORTH PEARL ST., ALBANY, NY 12204
(518) 462-5923
(518) 489-2352
Mailing address
456 NORTH PEARL ST., ALBANY, NY 12204
(518) 462-5923
(518) 489-2352
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04224448
—
NY
Enumeration date
09/06/2018
Last updated
09/06/2018
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