Slaunwhite, Wilson Roy

Slaunwhite, Wilson Roy is an individual health care provider with primary practice located at 309 County Route 47 Suite 1, Saranac Lake NY 12983-5405. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Slaunwhite, Wilson Roy can be contacted via phone (518) 891-2688.

Contact Information

Primary practice address
309 County Route 47 Suite 1 Saranac Lake NY 12983-5405
Phone: (518) 891-2688
Fax: (518) 891-4120
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 120898 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 120898 New York

Profile Details

NPI number 1063412039
LBN Legal business name Slaunwhite, Wilson Roy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated May 14th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063412039 NPPES
New York Other 1063412039 FIDELIS
New York Other DD2643 FIDELIS
New York MEDICAID 00459458 FIDELIS
New York Other 50E111 FIDELIS
New York Other 000401496001 FIDELIS
New York Other P00000040501 FIDELIS

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