Provider Demographics
NPI:1568713741
Name:BROWN, ALECIA A
Entity Type:Individual
Prefix:
First Name:ALECIA
Middle Name:A
Last Name:BROWN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:456 LINDEN BLVD
Mailing Address - Street 2:APT D3
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-2841
Mailing Address - Country:US
Mailing Address - Phone:646-236-8760
Mailing Address - Fax:
Practice Address - Street 1:456 LINDEN BLVD
Practice Address - Street 2:APT D3
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-2841
Practice Address - Country:US
Practice Address - Phone:646-236-8760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-27
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY653336163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse