Slattery, Michael

Slattery, Michael is an individual health care provider with primary practice located at 8 Brentwood Dr , Ithaca NY 14850-1871. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Slattery, Michael can be contacted via phone (607) 273-6757.

Contact Information

Primary practice address
8 Brentwood Dr Ithaca NY 14850-1871
Phone: (607) 273-6757
Fax: (607) 273-2854
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 2084S0012X 220740 New York
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 220740 New York
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X 220740 New York

Profile Details

NPI number 1609877158
LBN Legal business name Slattery, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Jun 8th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609877158 NPPES
New York MEDICAID 02136987

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