Individual
FANNY BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15623 77TH ST APT 1, HOWARD BEACH, NY 11414-2522
(929) 324-7975
Mailing address
15623 77TH ST APT 1, HOWARD BEACH, NY 11414-2522
(929) 324-7975
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
171M00000X
NY
Other
Enumeration date
04/03/2026
Last updated
04/03/2026
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