Provider Demographics
NPI:1588729206
Name:BROWN, GAIL A (MA)
Entity type:Individual
Prefix:MS
First Name:GAIL
Middle Name:A
Last Name:BROWN
Suffix:
Gender:F
Credentials:MA
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Mailing Address - Street 1:679 W 239TH ST
Mailing Address - Street 2:APT #3B
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-1258
Mailing Address - Country:US
Mailing Address - Phone:718-884-6861
Mailing Address - Fax:718-884-6845
Practice Address - Street 1:154 W 70TH ST
Practice Address - Street 2:APT 10A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-4402
Practice Address - Country:US
Practice Address - Phone:212-799-6715
Practice Address - Fax:718-884-6845
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-22
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY000447235Z00000X
NY000509102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Not Answered102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst