Provider Demographics
NPI:1043303365
Name:BROWN, STEPHEN THOMAS (DC)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:THOMAS
Last Name:BROWN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 338
Mailing Address - Street 2:
Mailing Address - City:PLEASANTVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10570-0338
Mailing Address - Country:US
Mailing Address - Phone:914-879-2905
Mailing Address - Fax:
Practice Address - Street 1:101 CASTLETON ST
Practice Address - Street 2:@PFX FITNESS
Practice Address - City:PLEASANTVILLE
Practice Address - State:NY
Practice Address - Zip Code:10570-3400
Practice Address - Country:US
Practice Address - Phone:914-879-2905
Practice Address - Fax:914-879-2905
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-30
Last Update Date:2010-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX003135111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor