Individual
DR. BAYU SUTARJONO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 BROOKDALE PLZ, BROOKLYN, NY 11212-3139
(347) 422-2024
Mailing address
1 BROOKDALE PLZ, BROOKLYN, NY 11212-3139
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
339711
NY
Other
Enumeration date
03/31/2022
Last updated
09/09/2025
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