Provider Demographics
NPI:1306193651
Name:ROBINSON-BROWN, TERRENCE GERARD (MS)
Entity Type:Individual
Prefix:MR
First Name:TERRENCE
Middle Name:GERARD
Last Name:ROBINSON-BROWN
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:549 OGDEN ST
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06608-1732
Mailing Address - Country:US
Mailing Address - Phone:347-880-1981
Mailing Address - Fax:
Practice Address - Street 1:549 OGDEN ST
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06608-1732
Practice Address - Country:US
Practice Address - Phone:347-880-1981
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-06
Last Update Date:2012-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY768385174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist