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Organization
PARK SLOPE ADVANCED MEDICAL, PLLC
Active
Organization
PARK SLOPE ADVANCED MEDICAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEMARIE PHILLIP M.D. (CEO)
(718) 840-0815
Entity
Organization
Contact information
Practice address
348 13TH ST STE 201, BROOKLYN, NY 11215-6179
(718) 840-0815
(718) 499-2704
Mailing address
348 13TH ST STE 201, BROOKLYN, NY 11215-6179
(718) 840-0815
(718) 499-2704
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CERTIFICATION# 3934
AAAASF, INC.
NY
Enumeration date
12/01/2010
Last updated
12/01/2010
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