Individual
ANTHONY BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
10 GRAHAM RD W, ITHACA, NY 14850-1055
(607) 257-2188
Mailing address
10 GRAHAM RD W, ITHACA, NY 14850-1055
(607) 257-2188
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
700906
NY
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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