Individual
MARK SLAVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
607 SENECA ST, ONEIDA, NY 13421-2627
(315) 363-8050
(315) 363-9286
Mailing address
1076 N SIDE SHOPPING CENTER, ONEIDA, NY 13421-0059
(315) 363-8050
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
1964691
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01613749
—
NY
Enumeration date
08/25/2006
Last updated
01/31/2019
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