Individual
MR. IAN M BROWN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPAC
Contact information
Practice address
3 GATES CIR, BUFFALO, NY 14209-1120
(716) 885-0602
(716) 885-0407
Mailing address
3 GATES CIR, BUFFALO, NY 14209-1120
(716) 885-0602
(716) 885-0407
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
005991
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01773995
—
NY
Enumeration date
04/25/2006
Last updated
07/08/2007
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