Provider Demographics
NPI:1346331550
Name:BROWN, DONALD J (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:J
Last Name:BROWN
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:692 MILLERSPORT HWY
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-2401
Mailing Address - Country:US
Mailing Address - Phone:716-839-9529
Mailing Address - Fax:716-839-2722
Practice Address - Street 1:692 MILLERSPORT HIGHWAY
Practice Address - Street 2:MILLERSPORT PHYSICAL THERAPY
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226
Practice Address - Country:US
Practice Address - Phone:716-839-9529
Practice Address - Fax:716-839-2722
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012094225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY11514581OtherCAQH
NM000629902005OtherBCBS
NY159889FTOtherPREFERRED CARE
NY050301000043OtherFIDELIS
NY9290029OtherIHA
NY159889FTOtherPREFERRED CARE
NY9290029OtherIHA