Provider Demographics
NPI:1518177260
Name:BROWN, DEREK BRIAN (MSW)
Entity Type:Individual
Prefix:MR
First Name:DEREK
Middle Name:BRIAN
Last Name:BROWN
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2527 GLEBE AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-3109
Mailing Address - Country:US
Mailing Address - Phone:718-904-4400
Mailing Address - Fax:718-931-7307
Practice Address - Street 1:240 E 4TH ST
Practice Address - Street 2:APT. 5D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10009-7404
Practice Address - Country:US
Practice Address - Phone:646-512-3161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker