OrganizationParkside Medical Office, PllcInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address200 Prospect Park W, Brooklyn, NY 11215-5747(718) 768-1264PECOS EnrollmentBased on the most recent information from CMS, provider Parkside Medical Office, Pllc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1356657332Provider TypeOrganizationFull NameParkside Medical Office, PllcSubpartNoEnumeration Date8/27/2010Last Updated8/27/2010Contact InformationPractice LocationPractice Address200 Prospect Park W, Brooklyn, NY 11215-5747Phone(718) 768-1264Fax(718) 768-0254Mailing LocationMailing Address200 Prospect Park W, Brooklyn, NY 11215-5747Phone(718) 768-1264Fax(718) 768-0254Authorized OfficialNameBang, Joon J (Medical Doctor)Phone(718) 768-1264Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense126410New York