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PARK SLOPE PEDIATRIC MEDICINE PC NPI 1780766964


NPI Information

NPI: 1780766964
Provider Name: PARK SLOPE PEDIATRIC MEDICINE PC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
263 7TH AVE
BROOKLYN, NY
ZIP 11215
Phone: (718) 780-5268
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PARK SLOPE PEDIATRIC MEDICINE PC is a pediatrics in Brooklyn, NY. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. PARK SLOPE PEDIATRIC MEDICINE PC NPI is 1780766964. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

263 7TH AVE
BROOKLYN, NY
ZIP 11215-689
Phone: (718) 780-5268

The provider's authorized official is Pramod Narula .
The authorized official title is Director and has the following contact phone number (718) 780-5268.

The enumeration date for this NPI number is 10/19/2006 and was last updated on 9/12/2008.


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
12080A0000XPediatricsAdolescent MedicineNo
22080I0007XPediatricsClinical & Laboratory ImmunologyNo
32080P0006XPediatricsDevelopmental - Behavioral PediatricsNo
42080P0201XPediatricsPediatric Allergy/ImmunologyNo
52080P0202XPediatricsPediatric CardiologyNo
62080P0203XPediatricsPediatric Critical Care MedicineNo
72080P0205XPediatricsPediatric EndocrinologyNo
82080P0206XPediatricsPediatric GastroenterologyNo
92080P0207XPediatricsPediatric Hematology-OncologyNo
102080P0208XPediatricsPediatric Infectious DiseasesNo
112080P0210XPediatricsPediatric NephrologyNo
122080P0214XPediatricsPediatric PulmonologyNo
132080P0216XPediatricsPediatric RheumatologyNo
14208000000XPediatricsYes

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
101862422MEDICAIDNEW 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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