Individual
ALEXANDER SLADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 444-2200
Mailing address
101 NICOLLS RD, STONY BROOK, NY 11794-0001
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
0116028957
VA
Other
Enumeration date
06/03/2015
Last updated
06/16/2020
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