Individual
MRS. ELIZABETH BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
400 MIDWAY PARK DR, MIDDLETOWN, NY 10940-2656
(845) 344-4336
Mailing address
33 FORT VAN TYLE RD, PORT JERVIS, NY 12771-3542
(845) 649-3354
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
021933-1
NY
124Q00000X
Dental Hygienist
22HI00740500
NJ
124Q00000X
Dental Hygienist
DH-013071-L
PA
Other
Enumeration date
01/28/2014
Last updated
03/10/2014
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