Individual
JOAN A STROUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
97 AMITY ST, LICH FAMILY MEDICINE DEPT. 4TH FLOOR, BROOKLYN, NY 11201-6004
(718) 780-1948
(718) 780-4639
Mailing address
201 EASTERN PKWY APT 6K, BROOKLYN, NY 11238-6138
(718) 398-3056
(718) 857-2628
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
199499
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00690941
—
NY
Enumeration date
10/26/2006
Last updated
03/28/2022
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