Provider Demographics
NPI:1295907897
Name:BROWN, LINCOLN A (RPH)
Entity type:Individual
Prefix:MR
First Name:LINCOLN
Middle Name:A
Last Name:BROWN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:759 E 81ST ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-3515
Mailing Address - Country:US
Mailing Address - Phone:718-809-4164
Mailing Address - Fax:718-284-0551
Practice Address - Street 1:730 FLATBUSH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-1459
Practice Address - Country:US
Practice Address - Phone:718-284-0083
Practice Address - Fax:718-284-0551
Is Sole Proprietor?:No
Enumeration Date:2008-03-24
Last Update Date:2008-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0436121183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist