Provider Demographics
NPI:1295097046
Name:BROWNSTEIN, PAMELA LORI (MS ED)
Entity type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:LORI
Last Name:BROWNSTEIN
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 COLLABERG RD
Mailing Address - Street 2:
Mailing Address - City:STONY POINT
Mailing Address - State:NY
Mailing Address - Zip Code:10980-3409
Mailing Address - Country:US
Mailing Address - Phone:845-729-3175
Mailing Address - Fax:
Practice Address - Street 1:16 COLLABERG RD
Practice Address - Street 2:
Practice Address - City:STONY POINT
Practice Address - State:NY
Practice Address - Zip Code:10980-3409
Practice Address - Country:US
Practice Address - Phone:845-729-3175
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-07
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist