Brown, Untray Tyrone

Brown, Untray Tyrone is an individual health care provider with primary practice located at 55 Greene Ave Ste Llc , Brooklyn NY 11238-6432. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Brown, Untray Tyrone can be contacted via phone (718) 230-7676.

Contact Information

Primary practice address
55 Greene Ave Ste Llc Brooklyn NY 11238-6432
Phone: (718) 230-7676
Fax: (718) 230-7776
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 046243 New York

Profile Details

NPI number 1841214087
LBN Legal business name Brown, Untray Tyrone
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Jan 15th, 2015 - about 10 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 1841214087 NPPES
New York MEDICAID 01704787
New York MEDICAID 1022989

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