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PARK SLOPE HEMATOLOGY ONCOLOGY P.C. NPI 1174574503


NPI Information

NPI: 1174574503
Provider Name: PARK SLOPE HEMATOLOGY ONCOLOGY, P.C.
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

CLIA Number: 33D2156235

Address:
506 6TH ST
BROOKLYN, NY
ZIP 11215
Phone: (718) 780-5240
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PARK SLOPE HEMATOLOGY ONCOLOGY, P.C. is a hematology and oncology internal medicine in Brooklyn, NY. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. PARK SLOPE HEMATOLOGY ONCOLOGY, P.C. NPI is 1174574503. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

506 6TH ST
BROOKLYN, NY
ZIP 11215-609
Phone: (718) 780-5240
Fax: (718) 780-7337

The provider's authorized official is Harvey Dosik .
The authorized official title is Director and has the following contact phone number (718) 780-5240.

The CLIA number assigned to this NPI record is 33D2156235 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/12/2006 and was last updated on 12/6/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2207RH0003XInternal MedicineHematology & OncologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11245203892MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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