Brown, Edward James

Brown, Edward James is an sole proprietor health care provider with primary practice located at 865A Walton Ave Store Front, Bronx NY 10451-5441. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Brown, Edward James can be contacted via phone (718) 292-9200.

Contact Information

Primary practice address
865A Walton Ave Store Front Bronx NY 10451-5441
Phone: (718) 292-9200
Fax: (718) 292-9205
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 147523 New York
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 147523 New York

Profile Details

NPI number 1891781563
LBN Legal business name Brown, Edward James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2005
Last updated Nov 13th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891781563 NPPES
New York MEDICAID 00645987

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