Diane Brown, PA
Physician Assistant in Bronx, NY. Individual provider (NPI-1).
NPI number1013057421
StatusActive
Last updated in NPPESOct 23, 2024
Details
- NPI
- 1013057421
- Entity type
- Individual (NPI-1)
- Name
- Diane Brown
- Credential
- PA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 7, 2007
- Certification date
- Oct 23, 2024
- Last updated
- Oct 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 006694-1 | NY | Yes |
| 207P00000X | Emergency Medicine | 006694 | NY |
Practice location
1400 Pelham Pkwy SBronx, NY 10461-1138
Phone 718-918-5000 · Fax 718-918-4074
Mailing address
1400 Pelham Pkwy SBronx, NY 10461-1138
Other practice locations
234 E 149th St
Bronx, NY 10451-5504
Bronx, NY 10451-5504
Phone 718-579-5000
3424 Kossuth Ave
Bronx, NY 10467-2410
Bronx, NY 10467-2410
Phone 718-519-5000
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