National Provider Identifier
Justin Dominic Francis Slate, MB BCH BAO
Justin Dominic Francis Slate, MB BCH BAO is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Buffalo, NY and a listed phone number of (716) 645-9707.
Profile Overview
- NPI
- 1053161521
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- March 26, 2024
- Last Updated
- March 26, 2024
Practice Location
- 77 Goodell St.
- Suite 340 Emergency Medicine
- Buffalo, NY 14203
Phone: (716) 645-9707
Mailing Address
- 136 McKinley Ave
- Kenmore, NY 14217
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1053161521
- Entity Type
- Individual
- Last Name
- Slate
- First Name
- Justin
- Middle Name
- Dominic Francis
- Credential
- MB BCH BAO
- Mailing Street Address
- 136 McKinley Ave
- Mailing City
- Kenmore
- Mailing State
- NY
- Mailing ZIP Code
- 14217
- Mailing Country
- US
- Mailing Phone
- (716) 465-6630
- Practice Street Address
- 77 Goodell St.
- Practice Address Line 2
- Suite 340 Emergency Medicine
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203
- Practice Country
- US
- Practice Phone
- (716) 645-9707
- Enumeration Date
- March 26, 2024
- Last Updated
- March 26, 2024
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- March 24, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)