Individual
JORDAN BARRY SLUTSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
STONY BROOK UNIVERSITY HOSPITAL, MEDICAL STAFF OFFICE, STONY BROOK, NY 11794-7148
(631) 444-2754
(631) 444-6031
Mailing address
STONY BROOK UNIVERSITY HOSPITAL, MEDICAL STAFF OFFICE, STONY BROOK, NY 11794-7148
(631) 444-2754
(631) 444-6031
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
268804-1
NY
Other
Enumeration date
06/10/2008
Last updated
05/13/2013
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