| Park Slope Physician Services Pc | |
|
1309 Avenue J Brooklyn NY 11230-3605 | |
| (718) 677-1710 | |
| (718) 677-6586 |
| Full Name | Park Slope Physician Services Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1309 Avenue J, Brooklyn, New York |
| Authorized Official Name and Position | Joel Gordon (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7187803031 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Slope Physician Services Pc Po Box 5451 New York NY 10087-5451 Ph: (717) 625-3999 | Park Slope Physician Services Pc 1309 Avenue J Brooklyn NY 11230-3605 Ph: (718) 677-1710 |
| NPI Number | 1013018324 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 08/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013018324 | NPI | - | NPPES |
| 01916229 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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