| Ajs Brookyln Medical Practice Pc | |
|
161-21 Jamaica Ave 7th Floor Jamaica NY 11432 | |
| (718) 896-2500 | |
| (718) 459-8515 |
| Full Name | Ajs Brookyln Medical Practice Pc |
|---|---|
| Speciality | Clinic/center |
| Location | 161-21 Jamaica Ave, Jamaica, New York |
| Authorized Official Name and Position | Donna Stidham (CHIEF, MANAGED CARE) |
| Authorized Official Contact | 3234365025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ajs Brookyln Medical Practice Pc 6255 W Sunset Blvd Fl 21 Los Angeles CA 90028-7422 Ph: (323) 860-5200 | Ajs Brookyln Medical Practice Pc 161-21 Jamaica Ave 7th Floor Jamaica NY 11432 Ph: (718) 896-2500 |
| NPI Number | 1134594955 |
|---|---|
| Provider Enumeration Date | 12/04/2015 |
| Last Update Date | 09/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134594955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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