# MR. BARRY FITZHERBERT SLATER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1699742304
- **Gender:** Man
- **Credential:** PYHSICIAN ASSISTANT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 05641 | NY | — |
| 363A00000X | Physician Assistant | 25MP00375500 | NJ | Yes |

## Other

- **Enumeration date:** 03/01/2006
- **Last updated:** 10/07/2022