Most Relevant Information
Provider Data
| NPI Number: | 1003445867 |
| Provider Name: | BRIAN ALLAN STANLEY MD, PHD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/03/2020 |
| Last Updated: | 04/03/2020 |
Provider Practice Location
8268 164TH ST BLDG 7TH
JAMAICA
NY
114321121
Practice Location Phone/Fax
| Phone: | 7188834583 |
| Fax: |
Provider Mailing Location
1321 UPLAND DR # 2362
HOUSTON
TX
770434718
Provider Mailing Phone/Fax
| Phone: | 4435643691 |
| Fax: |