Provider Demographics
NPI:1194946525
Name:BROWNE, JAMES P (PSYD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:P
Last Name:BROWNE
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:131 JACKSON CRES
Mailing Address - Street 2:
Mailing Address - City:CENTERPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11721-1053
Mailing Address - Country:US
Mailing Address - Phone:631-697-7879
Mailing Address - Fax:631-547-0793
Practice Address - Street 1:35 CROOKED HILL RD
Practice Address - Street 2:SUITE 102
Practice Address - City:COMMACK
Practice Address - State:NY
Practice Address - Zip Code:11725-5415
Practice Address - Country:US
Practice Address - Phone:631-697-7879
Practice Address - Fax:631-547-0793
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2011-01-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY011048103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01739555Medicaid
NYV37762Medicare PIN
NYV37761Medicare PIN