# PARK SLOPE PODIATRY, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** n/a
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982083390
- **Authorized official:** DR. MICHAEL PAUL NAGELBERG D.P.M. (DOCTOR OF PODIATRIC MEDICINE)
- **Authorized official phone:** (718) 768-4529

## Contact information

- **Practice address:** 360 9TH ST, BROOKLYN, NY 11215-4008
- **Practice address phone:** (718) 768-4529
- **Practice address fax:** (718) 768-0595
- **Mailing address:** 360 9TH ST, BROOKLYN, NY 11215-4008
- **Mailing address phone:** (718) 768-4529
- **Mailing address fax:** (718) 768-0595

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | N006458 | NY | Yes |

## Other

- **Enumeration date:** 05/19/2015
- **Last updated:** 05/19/2015