Organization
PARK SLOPE OBSTETRICS & GYNECOLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANFORD LEDERMAN M.D. (DIRECTOR)
(718) 780-3272
Entity
Organization
Contact information
Practice address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-3272
(718) 780-3079
Mailing address
PO BOX 5453, NEW YORK, NY 10087-5453
(718) 780-3272
(718) 780-3079
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
207VG0400X
Gynecology Physician
—
—
207VM0101X
Maternal & Fetal Medicine Physician
—
—
207VX0000X
Obstetrics Physician
—
—
207VX0201X
Gynecologic Oncology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02407032
—
NY
Enumeration date
05/12/2006
Last updated
09/05/2013
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