Provider Demographics
NPI:1083857585
Name:BROWN, AMY STEPHANIE (MD, MBE)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:STEPHANIE
Last Name:BROWN
Suffix:
Gender:F
Credentials:MD, MBE
Other - Prefix:DR
Other - First Name:AMY
Other - Middle Name:
Other - Last Name:OST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, MBE
Mailing Address - Street 1:3959 BROADWAY
Mailing Address - Street 2:CHC 7-737
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-1559
Mailing Address - Country:US
Mailing Address - Phone:212-305-5122
Mailing Address - Fax:212-305-6103
Practice Address - Street 1:630 W 168TH ST
Practice Address - Street 2:CHN5-517
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-3725
Practice Address - Country:US
Practice Address - Phone:212-305-8504
Practice Address - Fax:212-305-8881
Is Sole Proprietor?:No
Enumeration Date:2009-04-13
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2601302080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology