Individual
YURIY SLOTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
836 W WELLINGTON AVE, AIMMC, CHICAGO, IL 60657-5147
(773) 296-5311
Mailing address
1925 OCEAN AVE APT 5B, BROOKLYN, NY 11230-6843
(718) 676-0388
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA09762800
NJ
Other
Enumeration date
06/10/2010
Last updated
04/26/2016
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