Individual
BOZENA ROZUM SLOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
33-57 HARRISON ST, JOHNSON CITY, NY 13790-2143
(607) 763-6151
(607) 763-5252
Mailing address
346 GRAND AVE, JOHNSON CITY, NY 13790-2580
(607) 729-8156
(607) 729-2209
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
208938
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02056173
—
NY
Enumeration date
09/13/2005
Last updated
05/22/2017
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