Organization
PEDIATRIC SURGERY FPP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD SHLASKO MD (DIRECTOR)
(718) 283-7384
Entity
Organization
Contact information
Practice address
921 49TH ST, BROOKLYN, NY 11219-2923
(718) 283-8773
(718) 283-8796
Mailing address
921 49TH ST, BROOKLYN, NY 11219-2923
(718) 283-8773
(718) 283-8796
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
—
—
Other
Enumeration date
12/11/2006
Last updated
08/22/2020
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