Slim, Hanna Boutros
Slim, Hanna Boutros is an individual health care provider with primary practice located at 214 Cornelia St Suite 102, Plattsburgh NY 12901-2317. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Slim, Hanna Boutros can be contacted via phone (518) 561-6410.Contact Information
Primary practice address
214 Cornelia St Suite 102
Plattsburgh NY 12901-2317
Phone: (518) 561-6410
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 278769 | New York |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 047628 | Connecticut |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1417130410 |
|---|---|
| LBN Legal business name | Slim, Hanna Boutros |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 12th, 2007 |
| Last updated | Jan 21st, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417130410 | NPPES |
| Connecticut | MEDICAID | 001476282 |
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