Provider Demographics
NPI:1144468273
Name:BROWER, NEIL BRYAN SR
Entity type:Individual
Prefix:MR
First Name:NEIL
Middle Name:BRYAN
Last Name:BROWER
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 HUDSON AVE
Mailing Address - Street 2:
Mailing Address - City:IRVINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:10533-1312
Mailing Address - Country:US
Mailing Address - Phone:609-513-8027
Mailing Address - Fax:
Practice Address - Street 1:31 HUDSON AVE
Practice Address - Street 2:
Practice Address - City:IRVINGTON
Practice Address - State:NY
Practice Address - Zip Code:10533-1312
Practice Address - Country:US
Practice Address - Phone:609-513-8027
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-27
Last Update Date:2009-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0531831183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist