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NPI Code Detail

MEDICARE: IRIS R SLATER MD PC

MEDICARE: IRIS R SLATER MD PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician0881801NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437246634
Entity Type Code : Organization
Provider Name (Legal Business Name) : IRIS R SLATER MD PC
Provider Business Mailing Address
First Line : 245 A EAST 61ST STREET
Second Line :
City : NEW YORK
State : NY
Zip : 10021-8203
Country : US
Telephone Number : 212-988-5165
Fax Number : 212-371-0650
Provider Business Practice Location Address
First Line : 245 A EAST 61 ST STREET
Second Line :
City : NEW YORK
State : NY
Zip : 10021-8203
Country : US
Telephone Number : 212-988-5165
Fax Number : 212-371-0650
Authorized Official
Title or Position : PRESIDENT
Name : DR. IRIS R SLATER
Credential : MD
Telephone Number : 212-988-5165
Provider Enumeration Date : 10/07/2006
Last Update Date : 08/22/2020

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