National Provider Identifier
Michael Slattery, MD
Michael Slattery, MD is listed in the NPPES registry with a primary specialty of Sleep Medicine (Psychiatry & Neurology) Physician in Ithaca, NY and a listed phone number of (607) 273-6757.
Profile Overview
- NPI
- 1609877158
- Provider Type
- Individual
- Primary Specialty
- Sleep Medicine (Psychiatry & Neurology) Physician
- Enumeration Date
- August 09, 2005
- Last Updated
- June 08, 2012
Practice Location
- 8 Brentwood Dr
- Ithaca, NY 14850-1871
Phone: (607) 273-6757
Mailing Address
- 821 Cliff St
- Ithaca, NY 14850-2097
Specialties
- Sleep Medicine (Psychiatry & Neurology) Physician (2084S0012X)
- Clinical Neurophysiology Physician (2084N0600X)
- Neurology Physician (2084N0400X)
Full Record
- NPI
- 1609877158
- Entity Type
- Individual
- Last Name
- Slattery
- First Name
- Michael
- Credential
- MD
- Mailing Street Address
- 821 Cliff St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-2097
- Mailing Country
- US
- Mailing Phone
- (607) 277-2365
- Mailing Fax
- (607) 277-1415
- Practice Street Address
- 8 Brentwood Dr
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1871
- Practice Country
- US
- Practice Phone
- (607) 273-6757
- Practice Fax
- (607) 273-2854
- Enumeration Date
- August 09, 2005
- Last Updated
- June 08, 2012
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Sleep Medicine (Psychiatry & Neurology) Physician (2084S0012X), Clinical Neurophysiology Physician (2084N0600X), Neurology Physician (2084N0400X)
- Other Identifiers
- 02136987 (NY)