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PARK SLOPE MEDICAL HEALTH PROVIDER, PC
NPI 1255611919
Internal Medicine - Hematology & Oncology in Brooklyn, NY

Active since August 25, 2011
343 4TH AVE, BROOKLYN, NY 11215(718) 499-2169(718) 499-3218 Get Directions Write a Review

NPPES record last updated: August 25, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Park Slope Medical Health Provider, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PARK SLOPE MEDICAL HEALTH PROVIDER, PC (NPI 1255611919) is a healthcare organization registered as a hematology & oncology in Brooklyn, New York and active in the NPI registry since August 2011. The organization lists Stanley Sherbell, Director, as its authorized official.

NPPES Registry Identity

NPI1255611919
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NamePARK SLOPE MEDICAL HEALTH PROVIDER, PC
Location Address343 4TH AVEBrooklyn, NY 11215-2719
Mailing AddressPo Box 5450New York, NY 10087-5450 · (718) 499-2169 · Fax (718) 499-3218
Phone(718) 499-2169
Fax(718) 499-3218
Organization SubpartNo
Authorized OfficialStanley SherbellDirector · (718) 780-3000
Enumeration DateAugust 25, 2011
✔ NPI 1255611919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in NY · 000000
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
343 4TH AVE, Brooklyn, NY 11215
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Other Identifiers 1

Medicare PINWET191NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TARA TROUT PSY.D.
Psychologist
343 4TH AVE, 2C
BROOKLYN, NY 11215
Kings County (929) 262-0674
PARK SLOPE MEDICINE, P.C.
Internal Medicine (Hematology & Oncology)
343 4TH AVE, AVE
BROOKLYN, NY 11215
Kings County (718) 499-2169
MRS. RENEE LICORISH DNP, APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
343 4TH AVE
BROOKLYN, NY 11215
Kings County (929) 470-9881

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Park Slope Medical Health Provider, PC's NPI number?

The NPI number for Park Slope Medical Health Provider, PC is 1255611919. It was assigned to this organization in the NPPES registry on August 25, 2011.

Where is Park Slope Medical Health Provider, PC located?

Park Slope Medical Health Provider, PC is located at 343 4th Ave, Brooklyn, NY 11215. The listed phone number is (718) 499-2169.

What is Park Slope Medical Health Provider, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

When was this NPI record last updated?

The NPPES record for Park Slope Medical Health Provider, PC was last updated on August 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.