Individual
NICOLAS SLUYTER-BELTRAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
26 CENTRAL ST, SOMERVILLE, MA 02143-2827
(607) 968-1569
Mailing address
2810 STATE ROUTE 244, BELMONT, NY 14813-9775
(607) 968-1569
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA8446
MA
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA8446
PHYSICIAN ASSISTANT LICENSE
MA
Enumeration date
09/06/2021
Last updated
04/27/2022
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