Individual
MRS. CLARISSA LYNN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
770 GRAND BLVD, DEER PARK, NY 11729-5750
(631) 896-2512
Mailing address
2 VIEW DR, MILLER PLACE, NY 11764-2236
(631) 896-2512
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
640570
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402845
NY
Other
Enumeration date
09/30/2011
Last updated
01/28/2020
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