Provider Demographics
NPI:1942354022
Name:BROWN, STEVEN M (CRNA)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:M
Last Name:BROWN
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:511 E FAYETTE ST
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13202-1921
Mailing Address - Country:US
Mailing Address - Phone:315-422-2933
Mailing Address - Fax:315-422-3909
Practice Address - Street 1:225 GREENFIELD PKWY
Practice Address - Street 2:SUITE 105
Practice Address - City:LIVERPOOL
Practice Address - State:NY
Practice Address - Zip Code:13088-6666
Practice Address - Country:US
Practice Address - Phone:315-451-1540
Practice Address - Fax:315-422-6705
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYRN251846367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYR55001Medicare UPIN
NYDD4962Medicare PIN
NY430079372Medicare PIN