PARK SLOPE MEDICAL ASSOCIATES PC NPI 1457658031

NPI Information

NPI: 1457658031
Provider Name: PARK SLOPE MEDICAL ASSOCIATES PC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
348 13TH ST
SUITE 103
BROOKLYN, NY
ZIP 11215
Phone: (718) 499-4400
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PARK SLOPE MEDICAL ASSOCIATES PC is a specialist in Brooklyn, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PARK SLOPE MEDICAL ASSOCIATES PC NPI is 1457658031. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

348 13TH ST
SUITE 103
BROOKLYN, NY
ZIP 11215-177
Phone: (718) 499-4400
Fax: (718) 499-2704

The provider's authorized official is Varuzhan Dovlatyan .
The authorized official title is Medical Doctor and has the following contact phone number (718) 499-4400.

The enumeration date for this NPI number is 2/17/2011 and was last updated on 2/17/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		207890-1	NEW YORK	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	01777339	MEDICAID	NEW YORK
2	87A9610	MEDICARE OSCAR/CERTIFICATION	NEW YORK
3	G62992	MEDICARE UPIN	NEW 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: 11/14/2023

NPI Synchronization or Removal

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