Most Relevant Information
Provider Data
| NPI Number: | 1003239955 |
| Provider Name: | DICODA BROWN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 316975 |
Most Important Dates
| Enumeration Date: | 01/29/2014 |
| Last Updated: | 01/29/2014 |
Provider Practice Location
3324 WICKHAM AVE
BRONX
NY
104692736
Practice Location Phone/Fax
| Phone: | 9174150860 |
| Fax: |
Provider Mailing Location
3324 WICKHAM AVE
BRONX
NY
104692736
Provider Mailing Phone/Fax
| Phone: | 9174150860 |
| Fax: |