Organization
AJS BROOKYLN MEDICAL PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA STIDHAM (CHIEF, MANAGED CARE)
(323) 436-5025
Entity
Organization
Contact information
Practice address
161-21 JAMAICA AVE, 7TH FLOOR, JAMAICA, NY 11432
(718) 896-2500
(718) 459-8515
Mailing address
6255 W SUNSET BLVD FL 21, LOS ANGELES, CA 90028-7422
(323) 860-5200
(833) 241-7615
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/04/2015
Last updated
09/11/2019
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