Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ethan Brown, MBBCHBAO

Individual provider Body Imaging Physician · NPI 1093692295

Dr. Ethan Brown, MBBCHBAO is a Body Imaging Physician in New York, New York. Licensed in New York. Registered with an NPI since 2025.

Licensed in
NY
In the registry since
2025

Practice location Address checks out

1275 York Ave
New York, NY 10065-6007
Phone: (212) 639-5778
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Body Imaging Physician (primary) Taxonomy 2085B0100X · Licence 334934 (NY)

Record details

NPI number1093692295
Entity typeIndividual (Type 1)
GenderMale
Credentials MBBCHBAO
Sole proprietorNo
NPI enumeratedAugust 19, 2025
Last updated in NPPESNovember 21, 2025
Certification dateNovember 21, 2025

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