Individual provider · NPI-1

Mark M Brown

Driver · Rochester, NY

NPI number1891260618
StatusActive
Last updated in NPPESOct 8, 2018

Details

NPI
1891260618
Entity type
Individual (NPI-1)
Name
Mark M Brown
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 8, 2018
Last updated
Oct 8, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172A00000X DriverHAH1313NYYes

Practice location

184 Barberry Ter
Rochester, NY 14621-4104

Phone 585-353-9594

Mailing address

184 Barberry Ter
Rochester, NY 14621-4104

Phone 585-353-9594

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