Provider Demographics
NPI:1629413455
Name:BROWN, KAMI TRAN (PA)
Entity Type:Individual
Prefix:MRS
First Name:KAMI
Middle Name:TRAN
Last Name:BROWN
Suffix:
Gender:F
Credentials:PA
Other - Prefix:MS
Other - First Name:KAMI
Other - Middle Name:KIET
Other - Last Name:TRAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:1 CITY PL APT 1510
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-3343
Mailing Address - Country:US
Mailing Address - Phone:917-604-5081
Mailing Address - Fax:
Practice Address - Street 1:127 S BROADWAY
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-4006
Practice Address - Country:US
Practice Address - Phone:914-378-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-07
Last Update Date:2018-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016502363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant