Provider Demographics
NPI:1366899676
Name:BROWN, ROBIN S (PHD, MSC)
Entity type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:S
Last Name:BROWN
Suffix:
Gender:M
Credentials:PHD, MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 5TH AVE RM 1509
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-6656
Mailing Address - Country:US
Mailing Address - Phone:646-713-6213
Mailing Address - Fax:
Practice Address - Street 1:303 5TH AVE RM 1509
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6656
Practice Address - Country:US
Practice Address - Phone:646-713-6213
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-17
Last Update Date:2019-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP01456101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health