Organization
SLOPE PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REEZA BIALA PNP (PEDIATRIC NURSE PRACTITIONER)
(718) 630-0019
Entity
Organization
Contact information
Practice address
60 8TH AVE, BROOKLYN, NY 11217-3940
(718) 636-0019
Mailing address
60 8TH AVE, BROOKLYN, NY 11217-3940
(718) 636-0019
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
3823999-1
NY
Other
Enumeration date
11/25/2016
Last updated
11/25/2016
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