Slotkin, Jay P

Slotkin, Jay P is an individual health care provider with primary practice located at 50 Ackerly Pond Ln , Southold NY 11971-3005. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Slotkin, Jay P can be contacted via phone (631) 765-1414.

Contact Information

Primary practice address
50 Ackerly Pond Ln Southold NY 11971-3005
Phone: (631) 765-1414
Fax: (631) 765-1428
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 1456881 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 145688 New York

Profile Details

NPI number 1780650226
LBN Legal business name Slotkin, Jay P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Oct 29th, 2009 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1780650226 NPPES
New York Other 267AM1 EMPIRE BLUE SHIELD
New York Other P3555349 EMPIRE BLUE SHIELD
New York Other 10210 EMPIRE BLUE SHIELD
New York Other 9199852 EMPIRE BLUE SHIELD
New York MEDICAID 00658966 EMPIRE BLUE SHIELD

Popular Providers