Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 248287 | NY |
N | 207RI0011X | Interventional Cardiology | 248287 | NY |
NPI | 1073500286 |
---|---|
Provider Name | Vojtech Slezka |
First Address | Syracuse, NY 13210-0000 |
Second Address | Syracuse, NY 13210-0000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2005 |
Last Update Date | 09/11/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02508652 | (05) | NY |
H98834 | (02) |