IndividualActive
Ethan Brown, MB BCH BAO
NPI 1093692295 · Body Imaging Physician · New York, NY
Provider details
- NPI number
- 1093692295
- Entity type
- Individual
- Primary specialty
- Body Imaging PhysicianAllopathic & Osteopathic Physicians
- Credential
- MB BCH BAO
- Sex
- Male
- Sole proprietor
- No
- License
- 334934 (NY)
Mailing address
1275 York Ave
New York, NY 10065-6007
Registry dates
- Enumerated
- 2025-08-19
- Last updated
- 2025-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.