Individual
DR. MICHAEL CHARLES SLAUGHTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
536 BAY RD, SUITE 1, QUEENSBURY, NY 12804-1425
(518) 793-2483
(518) 793-2485
Mailing address
536 BAY RD, SUITE 1, QUEENSBURY, NY 12804-1425
(518) 793-2483
(518) 793-2485
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
151698
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00747599
—
NY
01
—
03010
MVP
NY
01
—
10001916
CDPHP
NY
01
—
11W8136741
WORKER'S COMP
NY
Enumeration date
01/09/2007
Last updated
06/22/2010
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