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Individual

DR. CLARKE DOUGLAS BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.,A.T.C.,D.P.T.

Contact information

Practice address
1900 ROUTE 31, WEST WAYNE PLAZA, MACEDON, NY 14502-8943
(315) 986-4655
Mailing address
4396 KIPP RD, CANANDAIGUA, NY 14424-8312
(585) 396-3344

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
8672
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01684335
NY
Enumeration date
03/20/2006
Last updated
03/12/2008
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