OrganizationPark Slope Integrative Medicine PlccInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address278 9th St, Brooklyn, NY 11215-3906(845) 276-3155(917) 596-9678PECOS EnrollmentBased on the most recent information from CMS, provider Park Slope Integrative Medicine Plcc 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 yesterday at 10:02 AM.Profile DetailsProvider ID1891259560Provider TypeOrganizationFull NamePark Slope Integrative Medicine PlccSubpartNoEnumeration Date1/28/2019Last Updated1/28/2019Contact InformationPractice LocationPractice Address278 9th St, Brooklyn, NY 11215-3906Phone(845) 276-3155FaxUnlisted FaxMailing LocationMailing Address230a 6th Ave Apt 4, Brooklyn, NY 11215-1396Phone(917) 596-9678FaxUnlisted FaxAuthorized OfficialNameChiniwala, Mona Nayankumar (Attending Physician)Phone(845) 276-3155Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer