Individual
MICHAEL SLIPPEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
180 E PULASKI RD, HUNTINGTON STATION, NY 11746-1915
(631) 425-2145
(631) 425-2296
Mailing address
180 E PULASKI RD, HUNTINGTON STATION, NY 11746-1915
(631) 425-2145
(631) 425-2296
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
110058-0
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00595368
—
NY
Enumeration date
07/14/2005
Last updated
02/25/2008
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