National Provider Identifier

Clarke Douglas Brown, P.T., A.T.C., D.P.T.

Clarke Douglas Brown, P.T., A.T.C., D.P.T. is listed in the NPPES registry with a primary specialty of Specialist in Macedon, NY and a listed phone number of (315) 986-4655.

NPI 1912966003Macedon, NYSpecialist

Profile Overview

NPI
1912966003
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
March 20, 2006
Last Updated
March 12, 2008

Practice Location

  • 1900 Route 31
  • West Wayne Plaza
  • Macedon, NY 14502-8943

Phone: (315) 986-4655

Mailing Address

  • 4396 Kipp RD
  • Canandaigua, NY 14424-8312

Specialties

  • Specialist (174400000X)
Full Record
NPI
1912966003
Entity Type
Individual
Last Name
Brown
First Name
Clarke
Middle Name
Douglas
Name Prefix
Dr.
Credential
P.T., A.T.C., D.P.T.
Mailing Street Address
4396 Kipp RD
Mailing City
Canandaigua
Mailing State
NY
Mailing ZIP Code
14424-8312
Mailing Country
US
Mailing Phone
(585) 396-3344
Practice Street Address
1900 Route 31
Practice Address Line 2
West Wayne Plaza
Practice City
Macedon
Practice State
NY
Practice ZIP Code
14502-8943
Practice Country
US
Practice Phone
(315) 986-4655
Enumeration Date
March 20, 2006
Last Updated
March 12, 2008
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)
Other Identifiers
01684335 (NY)