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Organization
PARK SLOPE MEDICAL ASSOCIATES PC
Active
Organization
PARK SLOPE MEDICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VARUZHAN DOVLATYAN MD (MEDICAL DOCTOR)
(718) 499-4400
Entity
Organization
Contact information
Practice address
348 13TH ST, SUITE 103, BROOKLYN, NY 11215-6177
(718) 499-4400
(718) 499-2704
Mailing address
348 13TH ST, SUITE 103, BROOKLYN, NY 11215-6177
(718) 499-4400
(718) 499-2704
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
207890-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01777339
—
NY
Enumeration date
02/17/2011
Last updated
02/17/2011
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