Provider Demographics
NPI:1093983512
Name:PARK SLOPE OPHTHALMOLOGY LLC
Entity Type:Organization
Organization Name:PARK SLOPE OPHTHALMOLOGY LLC
Other - Org Name:PARK SLOPE EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ANN
Authorized Official - Middle Name:VIRGINIA
Authorized Official - Last Name:ARTHUR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-857-4099
Mailing Address - Street 1:196 PROSPECT PL
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-3802
Mailing Address - Country:US
Mailing Address - Phone:718-857-4099
Mailing Address - Fax:718-857-4071
Practice Address - Street 1:196 PROSPECT PL
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238-3802
Practice Address - Country:US
Practice Address - Phone:718-857-4099
Practice Address - Fax:718-857-4071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-19
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty