PARK SLOPE ADVANCED MEDICAL PLLC NPI 1104128834

NPI Information

  • NPI: 1104128834
  • Provider Name: PARK SLOPE ADVANCED MEDICAL, PLLC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 348 13TH ST STE 201
    BROOKLYN, NY
    ZIP 11215
  • Phone: (718) 840-0815

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NPI Details

PARK SLOPE ADVANCED MEDICAL, PLLC 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 ADVANCED MEDICAL, PLLC NPI is 1104128834. 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 STE 201
BROOKLYN, NY
ZIP 11215-179
Phone: (718) 840-0815
Fax: (718) 499-2704

The provider's authorized official is Rosemarie Phillip .
The authorized official title is Ceo and has the following contact phone number (718) 840-0815.

The enumeration date for this NPI number is 12/1/2010 and was last updated on 12/1/2010.

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
1174400000XSpecialistYes

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 Other Provider Identifier Issuer
1CERTIFICATION# 3934OTHERNEW YORKAAAASF, INC.

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: 3/30/2025

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