Provider Demographics
NPI:1982756896
Name:BROWN, JEFFREY E (OTR)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:E
Last Name:BROWN
Suffix:
Gender:M
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2116 STRANG AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10466-2327
Mailing Address - Country:US
Mailing Address - Phone:646-228-0910
Mailing Address - Fax:
Practice Address - Street 1:2116 STRANG AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10466-2327
Practice Address - Country:US
Practice Address - Phone:646-228-0910
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist