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Organization
PARK SLOPE MEDICAL OFFICE PC
Active
Organization
PARK SLOPE MEDICAL OFFICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANJAN RAU M.D (OWNER)
(718) 832-1964
Entity
Organization
Contact information
Practice address
3443 83RD ST, JACKSON HEIGHTS, NY 11372-3054
(718) 832-1964
(718) 832-0526
Mailing address
9322 3RD AVE, STE 504, BROOKLYN, NY 11209-6802
(718) 832-1964
(718) 832-0526
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
168069
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01816875
—
NY
Enumeration date
05/17/2006
Last updated
03/31/2008
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