Provider Demographics
NPI:1821217985
Name:BROWDE, PAUL ERIC (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:ERIC
Last Name:BROWDE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:865 WEST END AVENUE
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:MANHATTAN
Mailing Address - State:NY
Mailing Address - Zip Code:10025-1002
Mailing Address - Country:US
Mailing Address - Phone:212-678-0221
Mailing Address - Fax:
Practice Address - Street 1:865 WEST END AVENUE
Practice Address - Street 2:SUITE 1A
Practice Address - City:MANHATTAN
Practice Address - State:NY
Practice Address - Zip Code:10025-1002
Practice Address - Country:US
Practice Address - Phone:212-678-0221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1881792084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYG21382Medicare UPIN
NY03J061Medicare ID - Type Unspecified