Organization
ALFRED E. SLONIM PHYSICIAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFRED E. SLONIM (DIRECTOR)
(516) 616-0074
Entity
Organization
Contact information
Practice address
2001 MARCUS AVE, SUITE N210, NEW HYDE PARK, NY 11042-1011
(516) 616-0074
(516) 616-9388
Mailing address
2001 MARCUS AVE, SUITE N210, NEW HYDE PARK, NY 11042-1011
(516) 616-0074
(516) 616-9388
Taxonomy
Speciality
Code
Description
License number
State
207SM0001X
Molecular Genetic Pathology (Medical Genetics) Physician
Primary
1574591
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01156725
—
NY
Enumeration date
11/12/2007
Last updated
11/12/2007
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