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NPI Code Detail

MEDICARE: DR. MICHAEL MARK SLOANE O.D.

MEDICARE:  DR. MICHAEL MARK SLOANE  O.D.
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
1152W00000XOptometristT003136-1NY

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 : 1912959214
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL MARK SLOANE O.D.
Provider Business Mailing Address
First Line : 71 HARMON ST
Second Line :
City : LONG BEACH
State : NY
Zip : 11561-2713
Country : US
Telephone Number : 516-432-7028
Fax Number :
Provider Business Practice Location Address
First Line : 3270 HEMPSTEAD TPKE
Second Line :
City : LEVITTOWN
State : NY
Zip : 11756-1345
Country : US
Telephone Number : 516-731-5050
Fax Number : 516-731-4900
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2006
Last Update Date : 04/18/2008

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Directions to “ DR. MICHAEL MARK SLOANE O.D.” Practice Location

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