Latasha A Brown
Specialist in New York, NY. Individual provider (NPI-1).
NPI number1871136879
StatusActive
Last updated in NPPESOct 22, 2019
Details
- NPI
- 1871136879
- Entity type
- Individual (NPI-1)
- Name
- Latasha A Brown
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 22, 2019
- Last updated
- Oct 22, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
4624 BroadwayNew York, NY 10040-2102
Phone 212-569-1044
Mailing address
409 N Broadway Apt 57Yonkers, NY 10701-1936
Phone 914-563-8880
Other practice locations
429 E 148th St
Bronx, NY 10455-4128
Bronx, NY 10455-4128
Phone 718-585-0600
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