Provider Demographics
NPI:1225201106
Name:MARKOW-BROWN, ELIZABETH (MPS,MSW,ATR,LCSW)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:
Last Name:MARKOW-BROWN
Suffix:
Gender:F
Credentials:MPS,MSW,ATR,LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 312
Mailing Address - Street 2:
Mailing Address - City:BELLPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11713-0312
Mailing Address - Country:US
Mailing Address - Phone:631-286-6663
Mailing Address - Fax:631-286-6663
Practice Address - Street 1:10 MOORING DR
Practice Address - Street 2:
Practice Address - City:BELLPORT
Practice Address - State:NY
Practice Address - Zip Code:11713-2810
Practice Address - Country:US
Practice Address - Phone:631-286-6663
Practice Address - Fax:631-286-6663
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-10
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR033471-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical