Provider Demographics
NPI:1205912029
Name:BROWN, CYNTHIA E (MD)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:E
Last Name:BROWN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 ASHFORD AVE
Mailing Address - Street 2:
Mailing Address - City:DOBBS FERRY
Mailing Address - State:NY
Mailing Address - Zip Code:10522-1823
Mailing Address - Country:US
Mailing Address - Phone:914-269-1763
Mailing Address - Fax:914-524-7985
Practice Address - Street 1:18 ASHFORD AVE
Practice Address - Street 2:SUITE MW
Practice Address - City:DOBBS FERRY
Practice Address - State:NY
Practice Address - Zip Code:10522-1823
Practice Address - Country:US
Practice Address - Phone:914-269-1763
Practice Address - Fax:914-524-7985
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY200478207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYBB4925016OtherDEA
NY777321Medicare PIN
G42609Medicare UPIN
NYA400080650Medicare PIN