Provider Demographics
NPI:1912954819
Name:BROWNE, DESMOND (DO)
Entity Type:Individual
Prefix:
First Name:DESMOND
Middle Name:
Last Name:BROWNE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:778 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-4505
Mailing Address - Country:US
Mailing Address - Phone:718-399-7649
Mailing Address - Fax:719-872-6295
Practice Address - Street 1:778 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238-4505
Practice Address - Country:US
Practice Address - Phone:718-399-7649
Practice Address - Fax:718-399-7649
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-27
Last Update Date:2008-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY226726207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine