Provider Demographics
NPI:1366491904
Name:SLIFKIN, ROBERT FELDMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:FELDMAN
Last Name:SLIFKIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1234 THE KNL
Mailing Address - Street 2:
Mailing Address - City:OYSTER BAY
Mailing Address - State:NY
Mailing Address - Zip Code:11771-4400
Mailing Address - Country:US
Mailing Address - Phone:516-626-8947
Mailing Address - Fax:516-626-0496
Practice Address - Street 1:1234 THE KNL
Practice Address - Street 2:
Practice Address - City:OYSTER BAY
Practice Address - State:NY
Practice Address - Zip Code:11771-4400
Practice Address - Country:US
Practice Address - Phone:516-626-8947
Practice Address - Fax:516-626-0496
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY110781207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00198150Medicaid
NY00198150Medicaid