Provider Demographics
NPI:1457720401
Name:JOHN J BROWNE DDS, EUGENE N GOETZ DDS, BENEDICT R MIRAGLIA DDS
Entity Type:Organization
Organization Name:JOHN J BROWNE DDS, EUGENE N GOETZ DDS, BENEDICT R MIRAGLIA DDS
Other - Org Name:DRS. BROWNE, GOETZ, & MIRAGLIA
Other - Org Type:Other Name
Authorized Official - Title/Position:DENTAL ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:C
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:CDA
Authorized Official - Phone:914-241-1191
Mailing Address - Street 1:280 N BEDFORD RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-1141
Mailing Address - Country:US
Mailing Address - Phone:914-241-1191
Mailing Address - Fax:914-241-1254
Practice Address - Street 1:280 N BEDFORD RD
Practice Address - Street 2:SUITE 201
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-1141
Practice Address - Country:US
Practice Address - Phone:914-241-1191
Practice Address - Fax:914-241-1254
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-21
Last Update Date:2015-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY055947122300000X
NY055762122300000X
NY055726122300000X
NY353701223G0001X
NY0409371223G0001X
NY0449511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No122300000XDental ProvidersDentistGroup - Multi-Specialty