Organization Name:  PARK SLOPE MEDICINE, P.C.


Practice Location:
506 6TH ST  BROOKLYN, NY 11215 US
Tel: 718-780-5246  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
N	207K00000X	Physicians Allergy & Immunology
N	207N00000X	Physicians Dermatology
N	207RC0000X	Physicians Internal Medicine
N	207RC0200X	Physicians Internal Medicine
N	207RE0101X	Physicians Internal Medicine
N	207RG0100X	Physicians Internal Medicine
N	207RG0300X	Physicians Internal Medicine
N	207RH0003X	Physicians Internal Medicine
N	207RI0200X	Physicians Internal Medicine
N	207RP1001X	Physicians Internal Medicine
N	207RR0500X	Physicians Internal Medicine
N	207SG0201X	Physicians Medical Genetics
N	2080P0207X	Physicians Pediatrics
N	2084N0400X	Physicians Psychiatry & Neurology
Y	207R00000X	Physicians Internal Medicine

Other Provider Identifiers:

Issuer	Number	State	Type
	02183008	NY	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin