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Mr. Mark Brown
Intellectual and/or Developmental Disabilities Residential Treatment Facility in New York, New York
NPI 1932334661

Mark Brown is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in New York, NY. Mark Brown practices in New York, NY. The NPI Number for Mark Brown is 1932334661 and holds a License No. 20159 (New York).

The current practice location address for Mark Brown is 4865 Broadway Apt 4W, New York, NY and can be reached out via phone at 646-410-0341.

Location: 4865 Broadway Apt 4W, New York, NY, 10034-3104
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932334661
Provider Name
Mark Brown
Credential
Provider Entity Type
Individual
Gender
Male
Address
4865 Broadway Apt 4W, New York, NY, 10034-3104
Phone Number
646-410-0341
Fax Number
Provider Enumeration Date
05/26/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4865 Broadway Apt 4W
City
New York
State
New York
Zip
10034-3104
Phone Number
646-410-0341
Fax Number
person
Provider Business Mailing Address Details
Address
4865 Broadway Apt 4W
City
New York
State
New York
Zip
10034-3104
Phone Number
646-410-0341
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
20159 (New York)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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