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NPI Code Detail

MEDICARE: PARK SLOPE MEDICINE, PC

MEDICARE: PARK SLOPE MEDICINE, PC
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
1225X00000XOccupational Therapist
2225100000XPhysical Therapist

General Provider Information

NPI Number : 1740628478
Entity Type Code : Organization
Provider Name (Legal Business Name) : PARK SLOPE MEDICINE, PC
Provider Business Mailing Address
First Line : PO BOX 5450
Second Line :
City : NEW YORK
State : NY
Zip : 10087-5450
Country : US
Telephone Number : 888-542-2842
Fax Number : 732-440-1483
Provider Business Practice Location Address
First Line : 2281 82ND ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-2603
Country : US
Telephone Number : 347-462-1914
Fax Number : 888-538-2577
Authorized Official
Title or Position : DIRECTOR
Name : STANLEY SHERBELL
Credential : MD
Telephone Number : 718-780-3284
Provider Enumeration Date : 06/04/2013
Last Update Date : 06/04/2013

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Directions to “PARK SLOPE MEDICINE, PC ” Practice Location

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