Individual
DR. STANTON JASICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
146 20TH ST, APT. 3R, BROOKLYN, NY 11232-1182
(715) 642-1751
Mailing address
146 20TH ST, APT. 3R, BROOKLYN, NY 11232-1182
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20A18673
CA
Other
Enumeration date
04/25/2017
Last updated
10/18/2021
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