Search › New York › 207P00000X
Johnny Slade, MD
NPI 1295392553 · on the registry since 2019 · sole proprietor
Practice
- Address
- 11 Bridge Rd
East Setauket, NY 11733 - Phone
- (631) 476-4000
- Fax
- (631) 476-4003
Registry record
- Primary taxonomy
- 207P00000X
207P00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-05-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York