Provider Demographics
NPI:1275848970
Name:BROWN, SAMUEL PEARCE (DO)
Entity type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:PEARCE
Last Name:BROWN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:700 BOISSEAU AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTHOLD
Mailing Address - State:NY
Mailing Address - Zip Code:11971-2926
Mailing Address - Country:US
Mailing Address - Phone:631-477-5353
Mailing Address - Fax:631-477-5891
Practice Address - Street 1:700 BOISSEAU AVE
Practice Address - Street 2:
Practice Address - City:SOUTHOLD
Practice Address - State:NY
Practice Address - Zip Code:11971-2926
Practice Address - Country:US
Practice Address - Phone:631-477-5353
Practice Address - Fax:631-477-5891
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-18
Last Update Date:2024-10-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY2797032081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine