National Provider Identifier

Michael J Brown, PA

Michael J Brown, PA is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Rochester, NY and a listed phone number of (585) 272-0700.

NPI 1508820119Rochester, NYMedical Physician Assistant

Profile Overview

NPI
1508820119
Provider Type
Individual
Primary Specialty
Medical Physician Assistant
Enumeration Date
April 12, 2006
Last Updated
March 11, 2022

Practice Location

  • 100 White Spruce Blvd
  • Dermatology Associates Of Rochester PC
  • Rochester, NY 14623-1507

Phone: (585) 272-0700

Mailing Address

  • 1815 Clinton Ave S
  • Ste 530
  • Rochester, NY 14618-5721

Specialties

  • Medical Physician Assistant (363AM0700X)
  • Physician Assistant (363A00000X)
Full Record
NPI
1508820119
Entity Type
Individual
Last Name
Brown
First Name
Michael
Middle Name
J
Credential
PA
Mailing Street Address
1815 Clinton Ave S
Mailing Address Line 2
Ste 530
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14618-5721
Mailing Country
US
Mailing Phone
(585) 442-4310
Mailing Fax
(585) 442-6750
Practice Street Address
100 White Spruce Blvd
Practice Address Line 2
Dermatology Associates Of Rochester PC
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14623-1507
Practice Country
US
Practice Phone
(585) 272-0700
Practice Fax
(585) 697-0822
Enumeration Date
April 12, 2006
Last Updated
March 11, 2022
Sex
Male
Sole Proprietor
No
Certification Date
March 11, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Medical Physician Assistant (363AM0700X), Physician Assistant (363A00000X)
Other Identifiers
BB2718 (NY)