Jordan Barry Slutsky
MOHS-Micrographic Surgeon
Stony Brook University Hospital Medical Staff Office
Stony Brook
, New York 11794-7148
Jordan Barry Slutsky
MOHS-Micrographic Surgeon
Stony Brook University Hospital Medical Staff Office
Stony Brook
, New York 11794-7148
(631) 444-6031
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About
Features
Specialties
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Jordan Barry Slutsky
- Stony Brook University Hospital Medical Staff Office
- Stony Brook, NY
- Zip : 11794-7148
- Fax : (631) 444-6031
- Phone : (631) 444-2754
Second Address
- Jordan Barry Slutsky
- Stony Brook University Hospital Medical Staff Office
- Stony Brook, NY
- Zip : 11794-7148
- Fax : (631) 444-6031
- Phone : (631) 444-2754
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207ND0101X | MOHS-Micrographic Surgeon | 268804-1 | NY |
National Provider Identifier
| NPI | 1336309848 |
|---|---|
| Provider Name | Jordan Barry Slutsky |
| First Address | Stony Brook, NY 11794-7148 |
| Second Address | Stony Brook, NY 11794-7148 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/06/2008 |
| Last Update Date | 13/05/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.