Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MARK BROWN

Active Sole Proprietor

Intellectual Disabilities Residential Treatment Facility · NEW YORK, NY

Registration Details

NPI Number: 1932334661
Provider Type: Individual
Gender: Male
NPI Issued: May 26, 2009 (16.905975019238 yrs)
Last Updated: May 26, 2009
License: 20159 (NY)
Sole Proprietor: Yes

Practice Information

Address: 4865 BROADWAY APT 4W

NEW YORK, NY, 100343104
Browse NY providers · Browse ZIP 10034
Phone: 6464100341
Primary Specialty: Intellectual Disabilities Residential Treatment Facility
320600000X

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.