Provider Demographics
NPI:1447231279
Name:SLAVIN, JAMES ARTHUR (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ARTHUR
Last Name:SLAVIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2200 BURDETT AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:TROY
Mailing Address - State:NY
Mailing Address - Zip Code:12180-2451
Mailing Address - Country:US
Mailing Address - Phone:518-272-0122
Mailing Address - Fax:518-272-1260
Practice Address - Street 1:2200 BURDETT AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:TROY
Practice Address - State:NY
Practice Address - Zip Code:12180-2451
Practice Address - Country:US
Practice Address - Phone:518-272-0122
Practice Address - Fax:518-272-1260
Is Sole Proprietor?:No
Enumeration Date:2005-11-09
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY136743207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000405091001OtherBSNENY
NY00737013Medicaid
NY136743-2OtherWCB
NY0015580OtherGHI
NY10001917OtherCDPHP
NY78E451OtherEBCBS
NY18134OtherMVPHP
NY18134OtherMVPHP
NYB82239Medicare UPIN