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
352 7TH AVE, SUITE 1205, NEW YORK, NY 10001-5012
(212) 627-7560
(212) 627-7563
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
10/17/2016
Last updated
09/11/2019
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