Individual
DR. JONATHAN PAUL SLYKER I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
779 CARROLL ST, BROOKLYN, NY 11215-1402
(845) 987-0471
Mailing address
5 UNION ST, MONTCLAIR, NJ 07042-3303
(973) 509-1480
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
D10334
NY
Other
Enumeration date
12/21/2005
Last updated
09/07/2012
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