Individual
HANNA BOUTROS SLIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
214 CORNELIA ST, SUITE 102, PLATTSBURGH, NY 12901-2317
(518) 561-6410
Mailing address
214 CORNELIA ST, SUITE 102, PLATTSBURGH, NY 12901-2317
(518) 561-6410
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
047628
CT
207RC0000X
Cardiovascular Disease Physician
Primary
278769
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001476282
—
CT
Enumeration date
12/12/2007
Last updated
01/21/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us