Provider Demographics
NPI:1366706368
Name:CUNNINGHAM-BROWN, MARGARET MARY (MS, BCABA)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:MARY
Last Name:CUNNINGHAM-BROWN
Suffix:
Gender:F
Credentials:MS, BCABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 HENRY ST
Mailing Address - Street 2:
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-3108
Mailing Address - Country:US
Mailing Address - Phone:917-751-8849
Mailing Address - Fax:516-997-2288
Practice Address - Street 1:137 HENRY ST
Practice Address - Street 2:
Practice Address - City:WESTBURY
Practice Address - State:NY
Practice Address - Zip Code:11590-3108
Practice Address - Country:US
Practice Address - Phone:917-751-8849
Practice Address - Fax:516-997-2288
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-25
Last Update Date:2012-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY601641951174400000X
NY0-04-1439174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist