Provider Demographics
NPI:1396067062
Name:BROWNE, SATRA (MD)
Entity type:Individual
Prefix:DR
First Name:SATRA
Middle Name:
Last Name:BROWNE
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 1:119 W 227TH ST
Mailing Address - Street 2:APT. 2F
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-6726
Mailing Address - Country:US
Mailing Address - Phone:973-953-2257
Mailing Address - Fax:
Practice Address - Street 1:119 W 227TH ST
Practice Address - Street 2:APT. 2F
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-6726
Practice Address - Country:US
Practice Address - Phone:973-953-2257
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-23
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
FLME155714207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADV544ZMedicare PIN