Individual
BETHANY J SLATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MBA
Contact information
Practice address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6504
(650) 804-4140
Mailing address
188 E 70TH ST APT 8C, NEW YORK, NY 10021-5168
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
036142224
IL
2086S0120X
Pediatric Surgery Physician
Primary
338344
NY
Other
Enumeration date
09/20/2007
Last updated
08/16/2025
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