Organization
PARKSIDE MEDICAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADEOLA UTHMAN (OWNER)
(718) 469-4222
Entity
Organization
Contact information
Practice address
225 PARKSIDE AVE APT 1D, BROOKLYN, NY 11226-1317
(718) 469-4222
Mailing address
225 PARKSIDE AVE APT 1D, BROOKLYN, NY 11226-1317
(718) 469-4222
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207UN0901X
Nuclear Cardiology Physician
—
—
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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