Provider Demographics
NPI:1285739516
Name:BROWN, ALISON MARIE (DC)
Entity type:Individual
Prefix:DR
First Name:ALISON
Middle Name:MARIE
Last Name:BROWN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:ALISON
Other - Middle Name:MARIE
Other - Last Name:PASSANTE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:118 CHATHAM ST
Mailing Address - Street 2:
Mailing Address - City:NASSAU
Mailing Address - State:NY
Mailing Address - Zip Code:12123-2702
Mailing Address - Country:US
Mailing Address - Phone:518-339-9977
Mailing Address - Fax:
Practice Address - Street 1:5010 STATE HIGHWAY 30
Practice Address - Street 2:SUITE 104
Practice Address - City:AMSTERDAM
Practice Address - State:NY
Practice Address - Zip Code:12010-7532
Practice Address - Country:US
Practice Address - Phone:518-842-2340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2009-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX011322111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor