Individual
MARISA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
245 ADMIRAL LN, BRONX, NY 10473-2446
(917) 627-9991
Mailing address
245 ADMIRAL LN, BRONX, NY 10473-2446
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
306445-1
NY
Other
Enumeration date
10/17/2013
Last updated
12/27/2013
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