National Provider Identifier

Nathan Michael Brown

Nathan Michael Brown is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Ithaca, NY and a listed phone number of (607) 266-5300.

NPI 1538649900Ithaca, NYPhysical Therapy Assistant

Profile Overview

NPI
1538649900
Provider Type
Individual
Primary Specialty
Physical Therapy Assistant
Enumeration Date
August 15, 2018
Last Updated
August 15, 2018

Practice Location

  • 2230 N Triphammer RD
  • Ithaca, NY 14850-6513

Phone: (607) 266-5300

Mailing Address

  • 211 4Th Ave
  • Frankfort, NY 13340-1405

Specialties

  • Physical Therapy Assistant (225200000X)
Full Record
NPI
1538649900
Entity Type
Individual
Last Name
Brown
First Name
Nathan
Middle Name
Michael
Mailing Street Address
211 4Th Ave
Mailing City
Frankfort
Mailing State
NY
Mailing ZIP Code
13340-1405
Mailing Country
US
Practice Street Address
2230 N Triphammer RD
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-6513
Practice Country
US
Practice Phone
(607) 266-5300
Enumeration Date
August 15, 2018
Last Updated
August 15, 2018
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapy Assistant (225200000X)