Provider Demographics
NPI:1770546616
Name:SLEPIAN, DAVID (BS)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:
Last Name:SLEPIAN
Suffix:
Gender:M
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:93 GARDEN PKWY
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:14072-1107
Mailing Address - Country:US
Mailing Address - Phone:716-773-2845
Mailing Address - Fax:716-774-3605
Practice Address - Street 1:918 MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14305-2608
Practice Address - Country:US
Practice Address - Phone:716-282-1292
Practice Address - Fax:716-285-3723
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY02716301183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist