Individual
DANIEL SLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2625 HARLEM RD, CHEEKTOWAGA, NY 14225-4031
(716) 893-0333
Mailing address
2625 HARLEM RD, CHEEKTOWAGA, NY 14225-4031
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
319251
NY
Other
Enumeration date
06/18/2015
Last updated
10/06/2025
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