Provider Demographics
NPI:1679589824
Name:BROWN, DONNA ALLISON (MD)
Entity Type:Individual
Prefix:DR
First Name:DONNA
Middle Name:ALLISON
Last Name:BROWN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:3049 HIGH RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-2832
Mailing Address - Country:US
Mailing Address - Phone:914-243-2317
Mailing Address - Fax:914-243-2319
Practice Address - Street 1:3049 HIGH RIDGE RD
Practice Address - Street 2:
Practice Address - City:YORKTOWN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:10598-2832
Practice Address - Country:US
Practice Address - Phone:914-243-2317
Practice Address - Fax:914-243-2319
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY165385-12085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01848902Medicaid
NY01848902Medicaid