MEDICARE: PARK SLOPE DENTAL

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	1223G0001X	General Practice Dentistry	041303	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649398850
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARK SLOPE DENTAL

Provider Business Mailing Address
First Line	:	310 76TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-3106
Country	:	US
Telephone Number	:	718-238-4170
Fax Number	:	718-238-4170

Provider Business Practice Location Address
First Line	:	310 76TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-3106
Country	:	US
Telephone Number	:	718-238-4170
Fax Number	:	718-238-4170

Authorized Official
Title or Position	:	OWNER
Name	:	DR. AHMED IBRAHIM BADAWY
Credential	:	D.D.S.
Telephone Number	:	718-238-4170

Provider Enumeration Date	:	03/26/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1609812528 — MICHAEL J KASSOUF MD
Practice Location Address:

346 76TH ST
BROOKLYN, NY
11209-3106

Practice Phone: 718-238-0131
Practice Fax: 718-833-9595

1659501088 — MICHAEL J KASSOUF, MD.,PC
Practice Location Address:

346 76TH ST
BROOKLYN, NY
11209-3106

Practice Phone: 718-238-0131
Practice Fax:

1043172810 — YSALBA POLANCO FABIAN
Practice Location Address:

857 FLATBUSH AVE
BROOKLYN, NY
11226-3106

Practice Phone: 347-479-5833
Practice Fax:

1295844736 — RITE AID OF NEW YORK INC
Practice Location Address:

302 CHURCH AVENUE
BROOKLYN, NY
11218-3106

Practice Phone: 718-437-7765
Practice Fax:

1811042856 — VALUCARE, INC
Practice Location Address:

849 FLATBUSH AVE
BROOKLYN, NY
11226-3106

Practice Phone: 718-217-1002
Practice Fax: 718-528-7248

1346421070 — MR. MORRIS FATIHA
Practice Location Address:

302 CHURCH AVE
BROOKLYN, NY
11218-3106

Practice Phone: 718-871-1112
Practice Fax: 718-622-0289

Directions to “PARK SLOPE DENTAL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.