Wilson Roy Slaunwhite
Pediatrician Allergist & Immunologist
309 County Route 47 Suite 1
Saranac Lake
, New York 12983-5405
Wilson Roy Slaunwhite
Pediatrician Allergist & Immunologist
309 County Route 47 Suite 1
Saranac Lake
, New York 12983-5405
(518) 891-4120
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About
Features
Specialties
- Allergist & Immunologist
- Pediatrician
Languages spoken
- English
Location
First Address
- Wilson Roy Slaunwhite
- 309 County Route 47 Suite 1
- Saranac Lake, NY
- Zip : 12983-5405
- Fax : (518) 891-4120
- Phone : (518) 891-2688
Second Address
- Wilson Roy Slaunwhite
- 309 County Route 47 Suite 1
- Saranac Lake, NY
- Zip : 12983-5405
- Fax : (518) 891-4120
- Phone : (518) 891-2688
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Where is Wilson Roy Slaunwhite ’s practice located?
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Is Wilson Roy Slaunwhite a sole practitioner?
Is Wilson Roy Slaunwhite accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207K00000X | Allergist & Immunologist | 120898 | NY |
| N | 208000000X | Pediatrician | 120898 | NY |
National Provider Identifier
| NPI | 1063412039 |
|---|---|
| Provider Name | Wilson Roy Slaunwhite |
| First Address | Saranac Lake, NY 12983-5405 |
| Second Address | Saranac Lake, NY 12983-5405 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/07/2005 |
| Last Update Date | 14/05/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000401496001 | BLUE SHIELD NENY (01) | NY |
| 00459458 | (05) | NY |
| 1063412039 | FIDELIS (01) | NY |
| 50E111 | BLUE CROSS BLUE SHIELD (01) | NY |
| C49787 | (02) | |
| DD2643 | PALMETTO GBA (01) | NY |
| P00000040501 | GHI FHP (01) | NY |
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.