Provider Demographics
NPI:1609892314
Name:EUSEBIO, SLOANE DELUKE (DC)
Entity Type:Individual
Prefix:DR
First Name:SLOANE
Middle Name:DELUKE
Last Name:EUSEBIO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 CHELSEA PL
Mailing Address - Street 2:
Mailing Address - City:CLIFTON PARK
Mailing Address - State:NY
Mailing Address - Zip Code:12065-3227
Mailing Address - Country:US
Mailing Address - Phone:518-373-6545
Mailing Address - Fax:518-373-1769
Practice Address - Street 1:2 CHELSEA PL
Practice Address - Street 2:
Practice Address - City:CLIFTON PARK
Practice Address - State:NY
Practice Address - Zip Code:12065-3200
Practice Address - Country:US
Practice Address - Phone:518-373-6545
Practice Address - Fax:518-371-8102
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2019-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX009556-1111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYRB5868Medicare PIN