| Doctor Name: | DR. RICHARD J BROWN |
| NPI Number: | 1295725570 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | 125377-1 |
| Business Practice Address: | 754 Forks Rd West Winfield, NY - 134911712 |
| Business Phone Number: | 3158226646 |
| Business Fax Number: | 3158225407 |
| Mailing Address: | 738 Forks Rd, WEST WINFIELD |
| State: | NY |
| Postal Code: | 134911712 |
| Phone Number: | 3158226646 |
| Fax Number: | 3158225407 |
| NPI Enumeration Date: | 10/26/2005 |
| NPI Last Update Date: | 08/23/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204C00000X |
| License Number: | 125377-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine, Sports Medicine |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |