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Individual
MICHAEL D SLATER
Active
Individual
MICHAEL D SLATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
238212
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00027642501
UNIVERA
NY
01
—
000528634001
BLUE CROSS
NY
01
—
0119764
IHA
NY
01
—
0136241
GHI PPO
NY
05
—
02752569
—
NY
01
—
238212
DO LICENSE NUMBER
NY
Enumeration date
05/09/2006
Last updated
09/25/2025
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