Van Slyke, John H

Van Slyke, John H is an individual health care provider with primary practice located at 5100 W Taft Rd Suite 2A, Liverpool NY 13088-3807. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Van Slyke, John H can be contacted via phone (315) 452-2555.

Contact Information

Primary practice address
5100 W Taft Rd Suite 2A Liverpool NY 13088-3807
Phone: (315) 452-2555
Fax: (315) 452-2559
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 191718 New York

Profile Details

NPI number 1811989726
LBN Legal business name Van Slyke, John H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
Last updated Sep 13th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1811989726 NPPES
New York MEDICAID 02224500
New York MEDICAID 00555440
New York MEDICAID 00555500
New York MEDICAID 01550765

Popular Providers