Provider Demographics
NPI:1770599300
Name:BROWN, ANN-MARIE (APRN-BC)
Entity type:Individual
Prefix:MS
First Name:ANN-MARIE
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:APRN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:341 W 88TH ST
Mailing Address - Street 2:1A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-2239
Mailing Address - Country:US
Mailing Address - Phone:212-873-2928
Mailing Address - Fax:212-873-2928
Practice Address - Street 1:341 W 88TH ST
Practice Address - Street 2:1A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-2239
Practice Address - Country:US
Practice Address - Phone:212-873-2928
Practice Address - Fax:212-873-2928
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2014-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY312980101YP2500X
103K00000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY321179OtherTRICARE
NY01924372Medicaid
11303OtherMAGNACARE
P403732OtherOXFORD HEALTH
NY172527OtherVALUEOPTIONS
NY7483196OtherGHI
I 7768509OtherAETNA
NYP403732OtherOXFORD HEALTH PLANS
AB0R051910OtherBCBS EMPIRE NY
NYP403732OtherOXFORD HEALTH PLANS