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

Richelle Lee Brown, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1063916328

Richelle Lee Brown, PHYSICIANASSISTANT is a Physician Assistant in New York, New York. Qualified in 2008, 18 years ago. Works from 3 locations. Licensed in California, Florida and New York.

Years since qualifying
18
Licensed in
CA, FL, NY
In the registry since
2018
Specialties on file
3

Practice location Address checks out

156 William St Rm 303
New York, NY 10038-5307
Phone: (716) 292-7590
Fax: (888) 803-3331
Show map & directions

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

Additional practice locations (2)

  • 333 1st St Ste A, San Francisco, CA 94105-2661 — (888) 803-3370
  • 2820 Ne 214th St Ste 801, Aventura, FL 33180-1269 — (808) 803-3370

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 021929 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 61257 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 9116005 (FL)

Record details

NPI number1063916328
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedMarch 21, 2018
Last updated in NPPESAugust 1, 2025
Certification dateAugust 1, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in New York