Provider Demographics
NPI:1417149907
Name:BROWNE, MARY T (NPP)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:T
Last Name:BROWNE
Suffix:
Gender:F
Credentials:NPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:656 MILTON TPKE
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:NY
Mailing Address - Zip Code:12528-2264
Mailing Address - Country:US
Mailing Address - Phone:845-883-5781
Mailing Address - Fax:845-562-5558
Practice Address - Street 1:656 MILTON TPKE
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:NY
Practice Address - Zip Code:12528-2264
Practice Address - Country:US
Practice Address - Phone:845-883-5781
Practice Address - Fax:845-562-5558
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-17
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY401063363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY401063OtherNYS DEPARTMENT OF EDUCATI
NYMB1589603OtherNYS DEA