Individual
JULIAN TANJUAKIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
220 13TH ST, BROOKLYN, NY 11215-4802
(718) 832-5980
Mailing address
220 13TH ST, BROOKLYN, NY 11215-4802
(718) 832-5980
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
331967
NY
Other
Enumeration date
05/10/2021
Last updated
09/20/2024
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