Provider Demographics
NPI:1023042348
Name:DOC BROWNS INC
Entity Type:Organization
Organization Name:DOC BROWNS INC
Other - Org Name:MID ISLAND MEDICAL SUPPLY COMPANY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-781-7332
Mailing Address - Street 1:2093 WANTAGH AVE
Mailing Address - Street 2:
Mailing Address - City:WANTAGH
Mailing Address - State:NY
Mailing Address - Zip Code:11793-3913
Mailing Address - Country:US
Mailing Address - Phone:516-781-7332
Mailing Address - Fax:516-781-2542
Practice Address - Street 1:2093 WANTAGH AVE
Practice Address - Street 2:
Practice Address - City:WANTAGH
Practice Address - State:NY
Practice Address - Zip Code:11793-3913
Practice Address - Country:US
Practice Address - Phone:516-781-7332
Practice Address - Fax:516-781-2542
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-11
Last Update Date:2010-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTF394358OtherOXFORD
GA1535046OtherUNITED HEALTHCARE
GA100153504601OtherAMERICHOICE
NY01577384Medicaid
CTF394358OtherOXFORD