National Provider Identifier
Stevie Jerome Brown Jr.
Stevie Jerome Brown Jr. is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Newark, NY and a listed phone number of (585) 622-8442.
Profile Overview
- NPI
- 1346135449
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- June 10, 2025
- Last Updated
- June 10, 2025
Practice Location
- 6510 Fairville Station RD
- Newark, NY 14513-9389
Phone: (585) 622-8442
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
- Athletic Trainer (2255A2300X)
Full Record
- NPI
- 1346135449
- Entity Type
- Individual
- Last Name
- Brown
- First Name
- Stevie
- Middle Name
- Jerome
- Name Suffix
- Jr.
- Mailing Street Address
- 6510 Fairville Station RD
- Mailing City
- Newark
- Mailing State
- NY
- Mailing ZIP Code
- 14513-9389
- Mailing Country
- US
- Mailing Phone
- (585) 622-8442
- Practice Street Address
- 6510 Fairville Station RD
- Practice City
- Newark
- Practice State
- NY
- Practice ZIP Code
- 14513-9389
- Practice Country
- US
- Practice Phone
- (585) 622-8442
- Enumeration Date
- June 10, 2025
- Last Updated
- June 10, 2025
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- June 10, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X), Athletic Trainer (2255A2300X)