MEDICARE: A & J STAFFING, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1770022691
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A & J STAFFING, INC

Provider Business Mailing Address
First Line	:	6520 NEW UTRECHT AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-5725
Country	:	US
Telephone Number	:	718-336-7110
Fax Number	:	347-991-9801

Provider Business Practice Location Address
First Line	:	6520 NEW UTRECHT AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-5725
Country	:	US
Telephone Number	:	718-336-7110
Fax Number	:	347-991-9801

Authorized Official
Title or Position	:	EXECUTICE VICE PRESIDENT
Name	:	RONEN FUKSBRUMER
Credential	:
Telephone Number	:	718-336-7110

Provider Enumeration Date	:	02/13/2017
Last Update Date	:	02/13/2017

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