Brown, Marc D
Brown, Marc D is an individual health care provider with primary practice located at 1770 Grand Concourse , Bronx NY 10457-5524. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Brown, Marc D can be contacted via phone (718) 901-8110.Contact Information
Primary practice address
1770 Grand Concourse
Bronx NY 10457-5524
Phone: (718) 901-8110
Fax: (718) 901-8121
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 036414-1 | New York |
Profile Details
| NPI number | 1396741328 |
|---|---|
| LBN Legal business name | Brown, Marc D |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2005 |
| Last updated | Feb 21st, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396741328 | NPPES |
| New York | MEDICAID | 00849050 |
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